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FREMOUW *VIRONMENTAL *RVICES INC. <br />Send Payment to: Phone: 800-559-3274 <br />EPA ID # CAR000171017 <br />P.O. Box 2875 Phone: 707-448-3700 U.S.D.O.T. # 1484667 INVOICE # 27899 <br />Vacaville, Ca 95696-2875 Fax: 707-448-3499 D.T.S.C. # 3544 <br />mcuvw.hazwasteremoval.com CA # 274461 Date r? + t <br />ADDRESS BILLING/MAILING ADDRESS <br />Customer Fi~3i'i'Mbus_ Eng' rl . & Transmission -Customer __Bambu&Enaine &Transmission <br />9031 E. Church Street <br />1031 E. Church Street <br />Stockton, CA 95205 Stockton, CA 95205 <br />E.P.A. # CAI 00 333 868 Phone <br />Additional Contacts: 209-453-9045 200 9414497 <br />PRODUCT - SERVICE INFORMATION <br />PROPER SHIPPING DESCRIPTION <br />7 . 14 • 21 • 30 • 45 • 60 • 90 • 180 • 365 WAC <br />WASTE CODE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />Non-RCRA Hazardous Wash Liquid Used C111) <br />I <br />CA 22I- <br />Non-RCRA Hazardous -Waste Lloyd Id Used Aft -Freeze I <br />CA 134 <br />Nott-RORA Hazarcicws Waste Liquid (Ody Water <br />,A 223 <br />Drained Used Oil l Gass ne / Diesel Fitters <br />+ i) <br />WA <br />�' S <br />NwRCRA Haxwilm Waste Solid Ori Canlatrtirded Debris. Soil) <br />i;A 223 <br />Parts Washer Service <br />vA 223 <br />Non-RCRA Hazardous Waste tacutd (Brake Fluid) <br />Ca 343 <br />'a �Ea!tllltable , N.U.S., 3, UN199:3, PGiI tt�as-t)�s�,l" <br />';�Sl0t;18 <br />0EPUMSER <br />IM& <br />Empty Drums Provide 0 Remove 1 Al 1 A2 5g ❑ <br />l Og ❑ 15g ❑ 30g ❑ 55g ❑ S P F <br />Clor-D-Tect Q4000 Test Kit: Test ❑ Pass ❑ Fail O Generator KnoMedge'O PPM <br />Transportation Charges/Additional Truck Time/Additional Labor/ LAB Packing/Site Cleaning <br />Clean: -Y N <br />Labels <br />Oil e f , "r • ' j! <br />A/F / <br />UOF <br />Oily Debris <br />SERVICES REQUESTED BY <br />i fx ,,. <br />TAX <br />We ® <br />ACCs t <br />P. O. # <br />TOTAL CHARGES: <br />GENERATOR'S CERTIRCATION: I hereby declare that 'he contents of Ilii=_ consignment are fully and accurately described above ov proper shippingname and are classified, packed, marked, and <br />labeled, and are in all respects in proper condition for transport by highway according to applicable state and national government regulations. If I am a large quantity generator, I certify that I <br />have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method <br />of treatment, storage, or disposal currently available to me which minimir=d the present and future threat to human health and the environment: OR, if I am a small quantity generator, I have made <br />a good faith effort to minimae my waste generation and select the best wasta management method that is available to me and that I can afford. All used oil from the generator listed above <br />will be transported only to a facility permitted by the State of California to produce used oil into recycled oil OR a facility that is required to comply with Federal regulations applicable to the <br />management of used oil. All relevant information regarding known or suspecled hazards associated with this waste has been disclosed. The customer agrees to pay reasonable cosh and attorney <br />fees incurred in the collection of this obligation. Venue for purposes f this obliqation shall be in Solana county. I declare under-benalty of oeriury that the foraoina is true and correct. <br />'OSAL/RECYCLING FACILITY: <br />Station I Industrial t Agricutture <br />Marine I Other <br />:," r"Wx r: ur< frr.. 1 :, i j L••,nvgreon (A h.. 1 ;Wa: turbos+ b�vl jo" 0i' i '1 Y LrnraaxAwdal <br />tfic i Road 37E F" 3n14t Aw, iis21 i 6my ma Road iii 1 W ch"Val Row, <br />Dam, CA : CIA 2 rdeurerl; CA am 3 S..n ,n> , CA s9661,ra d aw i iA ^1t <br />0"M— oo ^,ADS' '4 1C1 as F (ADrA '4r,-W,441M r.Ac�iR 510541�,M Cryt f j ; <br />A / <br />4 1 <br />t i.t1sll.eraflrtyEb� <br />iJwd�w)t�+ Gr ,Erni <br />