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P.O. Box 2407 UNION CITY, CA 94587-2407 <br />(800) 499-3676 FAX (510) 476-1786 <br />CAR 000 007 013 <br />BILLING INFORMATION <br />WE ACCEPT vISA & MASTERCARD <br />MasterCard <br />P.O. Box 349 SILVER SPRINGS, NV 89429-0349 <br />(775) 577-9001 FAX (775) 577-9199 <br />NVD 982 358 483 (800) 471-2105 <br />JOB SITE <br />Bill of Lading <br />Invoice150448 <br />Datea 7 ` ,' /r l <br />NAM <br />NAME <br />PO# CASH CHECK <br />PESS <br />Q <br />_ <br />ADDRESS <br />CUSTOMER EPA ID # <br />CITY S ATE <br />ZIP <br />CITY <br />STATE ZIP <br />PROFILE # <br />7 C <br />PHONE NO. `% <br />07 q)/ <br />PHONE NO. <br />) <br />CUSTOMER ID # <br />R UCT PR(3PM <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />SHIPPING DESCRIPTION <br />CODE <br />Used Oil, Non-RCRA Hazardous <br />Waste, Liquid <br />221 <br />Used Automotive Antifreeze, Non-RCRA <br />Hazardous Waste, Liquid <br />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 />DISPOSAURECYCLING FACILITY: <br />Collection Station Industrial Agriculture <br />Government Marine TOTAL <br />Alviso Independent Oil <br />Clearwater Environmental Mgmt. Inc. <br />D/K Environmental <br />5002 Archer Street; Alviso, CA <br />2430 Almond Dr. <br />3650 E. 26th Street; Vernon, CA <br />CAL 000 161 743: 95002 <br />Silver Springs, NV 89429 <br />CAT 080 033 681; 90023 NET 10 DAYS <br />(510) 476-1740 <br />NVD 982 358 483 <br />(323) 268-5056 <br />(775) 577-9001 <br />Onyx Environmental Services r <br />Seaport Environmental <br />Commercial Filter Recycling <br />1125 Hensley Street; Richmond, CA <br />675 Seaport Blvd; Redwood City, CA <br />33210 Western Ave; Union City, CA <br />CAT 080 014 079; 94801 <br />CAR 000 140 624; 94063 <br />(510) 487-9227; 94587 <br />(510)233-8001 <br />(650) 364-8154 <br />DeMenno Kerdoon Evergreen Oil <br />2000 N. Alameda Blvd; Compton, CA <br />6880 Smith Ave; Newark, CA <br />CAT 080 013 352; 90222 <br />CAD 980 887 418; 94560 <br />(310) 537-7100 <br />(510) 795.4400 <br />I hereby certify that all information submitted in this and all attached documan contai t+ue and accurate descriptions of the waste. All relev, t infor ' n regard wn or peclted hazards <br />associated with the wastes has been disclosed. I certify that we have an es blishe ro�gram to reduce the volume of waste to the de ree o e nomically practi ble �V' o <br />DRIVER <br />SIGNATURE SIGNATUTF r �� r l <br />J/ <br />