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WE ACCEP'I -ISA& MASTERCARD <br /> -CLEARWATER rSAENVIRONMENTAL MANAGEMENT, INC. <br /> REMIT TO: Bill of Lading <br /> P.O. Box 2407 UNION CITY, CA 94587-2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 Invoice # 115798 <br /> (800) 499-3676 FAX (510) 476-1786 (775) 577-9001 FAX (775) 577-9199 <br /> CAR 000 007 013 NVD 982 358 483 (800) 471-2105 Date <br /> BILLING INFORMATION JOB SITE <br /> N NAME PO# CASH CHECK <br /> ADDR SADDRESS CUSTOMER EPA ID# <br /> CITY STATE ew <br /> ZIP CITY STATE ZIP P OFILE# <br /> C � <br /> PHONE NO. PHONE NO. CUSTOMER ID# <br /> 9) - c <br /> PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 G <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 <br /> Non Hazardous Waste Liquid <br /> Non Hazardous Waste Solid <br /> Transportation Charges <br /> Washout Charges <br /> Drained Used Oil Filters <br /> Empty Drums <br /> Additional Labor <br /> Pressure Washer <br /> Other: <br /> t <br /> DISPOSAURECYCLING FACILITY: Collection Station Industrial Agriculture Government Marine TOTAL <br /> Alviso Independent Oil ^ Clearwater Environmental Mgmt.Inc. L� D/K Environmental <br /> 5002 Archer Street; Alviso,CA ��+2430 Almond Dr. 3650 E.26th Street; Vernon,CA <br /> CAL 000 161 743; 95002 Silver Springs,NV 89429 CAT 080 033 681; 90023 NET 7 0 DAYS <br /> (510)476-1740 NVD 982 358 483 (323)268-5056 <br /> (775)577-9001 <br /> Onyx Environmental Services Seaport Environmental Commercial Filter Recycling <br /> 1125 Hensley Street; Richmond,CA 675 Seaport Blvd; Redwood City,CA 33210 Western Ave; Union City,CA <br /> CAT 080 022 148; 94801 CAR 000 140 624; 94063 (510)487-9227; 94587 <br /> (510)233-8001 (650)364-8154 <br /> DeMegno Kerdogri Evergreen Oil <br /> 2000 N.Alame4'131vd; Compton,CA 6880 Smith Ave; Newark,CA <br /> CAT 080 01336'2; 90222 CAD 980 887 418; 94560 <br /> (310)537.7100 (510)795-4400 <br /> I hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of the waste.All relevant informati regarding known or suspected hazards <br /> associated with the wastes has been disclosed.I certify that we hav e7ed program to reduce the volume of waste to the degree�tobe�/ec�icallypracticable. <br /> DRIVER GENERATOR r <br /> SIGNATURE SIGNATURE / <br /> G <br />