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02/24/2003 15:49 2096360';36 SAN I PAK PAGE 06 <br /> CLEARWATER <br /> ENVIRONMENTAL MANAGEMENT, INC. <br /> P.O. Box 2407 UNION 017y, CA 94587-2407 Bill Of Lading <br /> (800) 499.3676 FAX (510)475-1786 Invoice#. 64758 -4 <br /> CAR 000 007 013 WE ACCEPT VISA&MASTERCARD <br /> Date / 2 -a3 <br /> }° ` BI LING INFORMATION t_ W_ _ JOB SITE <br /> NAME _� PO# CASH CHECK <br /> J' AD KESS — ADgRE55 CUSTOMER EPA ID# <br /> E:. <br /> atm pz <br /> STATE ZIP CITY STATE ZIP PROFILE# <br /> PHONE NO. PHONE NO. CUSTOMER ID NO: <br /> PR DUCT PROPER WASTE' MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> fes: <br /> Used Oil, Non-RCRA Hazardous gA <br /> Waste, Liquid _ 221 <br /> Used Automotive Antifreeze, Non-R "HA <br /> Hazardous Waste, Liquid 134 <br /> x Oily Water Non RCRA Hazardous; <br /> Waste Liquid <br /> Non RCRA Hazardous Waste Solid r <br /> Oil Contaminated Debris i Soil <br /> Waste Combustible Liquid nos 3~ <br /> UN1993, PG ill <br /> sa=" Non Hazardous Waste Liquid.~ <br /> Non Hazardous Waste Soiid _� <br /> Transportation Charges <br /> Washout Charges <br /> Drained Used Oil Filters M _ <br /> i Fm Drums <br /> Additional Labor 4 <br /> Pressure Washer _ <br /> T, Other: <br /> DISP ALIRECYCLING; P C•ILITY: co;locnon Steicrt Indu91tlfl1 QrICUlture (l ovarnmanl M.rtne TOTAL <br /> ANleo I ndepen0e111011 F—=MCKitMei Wactn Treatment Site I D/K ErvlronTental !/ .•/ <br /> r,•t•` 5002 AmherStreet:ASviso,CA 58533 Hwy 58 West McX1hrlok;CA 3t?5C•[.281h Street;Vernon,CA <br /> CA1,000 161 743; 9$002 CAD 00 810 8311 93251 CAI'06f,033 691; 90023 NET 10 DAYS <br /> ��'`•' r <br /> IS 10)476-1740 (6811)762-7388 - (323)288.505E <br /> Onyx Emlron-.antel Sarvioo5 seaport.Environmental r--�Commor�lal Filler RecycHig <br /> s< 1125 Henrrley 9lwep Fhchmonu,6A 975 U'eapM 91,,d; 960wood Cily,CA 3321 o Wamarn Ave; Union Clly.CA <br /> (a 0A1 080 022 148; 94801 CAD 000 32 058; 94p83 (510)401-4277; 94597 <br /> I510)233.8001 (OrSO)364.6154 <br /> 01IM9nno Ke,dnon '- Evergreen Cul �� µ <br /> AtY.43 2000 N A16me3e 115Wd CcmpiCn.'CA 6660 Smith Aw: Newark-CA <br /> CAT 080 013 352, 90222 CAV 980 867 410: 94560 <br /> % (310)6!7-7100 795'4400 _ <br /> ,11``;,;:•'�.1 1 he rely certify that all tnfnnnation:u tm itta7 r,this and ai:a0fiCned dCCUrn ef119 CJrla In true and sccu rata OP Hptionr,of the waA,e. All relevant intormatlon regarding known or suspected hazards <br /> sesoCleled With the k*51e6 has been d16rtoscd. Cler,-ater Rx,; •rte eft "estes to is-,itties which are properly permitted pnd iicansed to accept these Waslee. <br /> DRIVER GENERATOR <br /> ",' SIGNATURE SfGNATLIRE <br /> f'V <br />