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WE ACCEPT VISA & MASTERCARD <br /> CLEARWATER <br /> ENVIRONMENTAL MANAGEMENT, INC. <br /> REMIT TO: BIII Of Lading <br /> P.O. Box 2407 UNION CITY, CA 94587.2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 Invoice # 180044 <br /> (800)499-3676 FAX (510) 476-1786 (775) 577-9001 FAX (775) 577-9199 D� <br /> CAR 000 007 013 NVD 982 358 483 (800).471-2105 t 7 <br /> Date <br /> BILLING INFORMATION JOB SITE <br /> NAM <br /> US NAME PO# CASH CHECK <br /> rU� <br /> Do <br /> Y C m r?ro aU PP* df Ck � CUSTOMER EPA ID# <br /> -4 n(� STATE �� CITY O� STATE ZIP PROFILE# <br /> PHONE NO. /" C PHONE NO. Fl CUSTOMER ID# <br /> PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 <br /> Used Automotive Antifreeze, Non-RCRA <br /> Hazardous Waste, Liquid 134 <br /> Oily Water Non-RCRA Hazardous <br /> Waste, Liquid <br /> Non RCRA Hazardous Waste Solid <br /> Oil Contaminated Debris/Soil <br /> Waste Combustible Liquid nos 3 <br /> UN1993, PG III lAr <br /> Non Hazardous Waste Liquid 6 <br /> Non Hazardous Waste Solid D 2 5 <br /> Transportation Charges <br /> Washout Charges <br /> DrainedUsed Off Filters <br /> Empty Drums <br /> Additional Labor <br /> Pressure Washer <br /> Other: <br /> DISPOSAIJRECYCLING FACILITY: CollectionStalion Indusurat Agriculture Government Marine TOTAL <br /> Alviso Independent Oil O Clearwater Environmental Mgmt.Inc. ODM Environmental <br /> 5002 Archer Slreei, Alviso.CA 2430 Almond Dc 3650 E.261h Street: Vernon.CA <br /> CAL 000161743; 95002 Silver Springs,NV 89429 CAT 080 033 681: 90023 NET IO DAYS <br /> (510)476-1740 NVD 982 358 483 (323)2685056 <br /> (775)577-9001 <br /> Onyx Environmental Services O Seaport Environmental O Commercial Filler Recycling <br /> 1125 Hensley Street; Richmond,CA 675 Saapon 1,14; Redwood City,CA 33210 Western Ave; Union City.CA <br /> CAT 060 014 079; 94801 CAR 000 14D 624; 94063 (510)487.9227; 94587 <br /> (51 D)233-8001 - (650)364 8154 <br /> DeMenrw Kerdoon O Evergreen Oil <br /> 2000 N.Alameda Blvd; Compton,CA 6880 Smith Ave; Newark,CA <br /> CAT 080 013 352; 90222 CAD 980 887 418; 94560 <br /> (310)5377100 (510)795-4400 <br /> I hereby cerlity That all information wbmllted in this and all attac tl doc me 1 contain true and accurate descriptions of the waste.All relevant information regarding known or suspected hazards <br /> associated with the ' <br /> has been dia,loaeA I certify w have n sale ished program to reduce the volume of waste to the degree to be economically practicable. <br /> DRIVER GENERATOR <br /> SIGNATUR SIGNATURE <br />