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Send PaymFREMOUWL E1 IRONVENTAL SIWVICES, INC. <br />r.o, saz 2875 U.S.D.O.T. # 1484667 INVOICE #EPA ID # GAtt(H}0171017 3 4 5 5 8 <br />Phone: 707-448-3700 <br />Vacaville, Ca 95696-2873 Fax: 707.448-3499 D.T.S.C. # 3544 <br />www.haz,vasteremoveil.com CA # 274461 Date e <br />NODRE33 SILUNG/MAILING A RCSB <br />.Omer _ Bambus Engine & Transmission Customer embus Engine & Transmission <br />1031 E. Church Street 1031 E. Church Street <br />Stockton, CA 95205 Stockton, CA 95205 <br />E.P.A. # CAL 000 333 888 <br />Phone <br />Additional Contacts. 209-463-9046 209 9414497 <br />Bemeai Mehhrag <br />PR©ourT _ e.9:DVltrn i <br />��f tTiA�t /wwwwrrw <br />-- - -- -• �••+..,-..tv.� <br />7 o 14 • 21 • 30 • 4S • 60 • 90 • 160 • 36S W/C WASTE CODEMANIFEStNUMBER <br />Non-RCRA Hazardous Waste Liquid (Used ail) CA 221 <br />Nor -RCRA Hazardous Waste Liquid (Used Anti -Freeze) CA 134 <br />Non-RCRA Hazardous Waste Liquid (ally Water) CA 223 <br />rained Ui ne iesef liters WA <br />Nor}RGRA Hamtlydotl9 Waste Solid (Oil Contaw*ed Dobno, S* CA 223HEM; wasAtA Ice CA U3 <br />Mn- azar us a e lqui a ul CA 343 <br />UN1993, Wade LOW, N.0,S., 3, PGII (Gnoine`Dteeel) 011DO18 <br />rwvr�iS anrlrr�ItlV <br />IJCJ�.1(I�IIVN <br />QUANTITY <br />UNITS <br />Galkxle <br />PRICE <br />AMOUNT <br />Empty Drums Provide C7 Remove p IA1 IA2 5g ❑ 109 O 159 ❑ 30g ❑ 55g ❑ S P F <br />Clor-D-Tect 06000 Test Kit: Test ❑ Pass ❑ Fail 0 Generator Knowledge PPM,'�� <br />Transportation Charges/Additional Truck Time/Additional Labor/ LAB Packing/Site Cleaning <br />Clean: 0 ' N Labels OII '',i/ I q/F UOF Oily Debris <br />ERRYCES REQUESTED BYud—mC".t/( r e . R" Qvt it -.:. TAX <br />labeled. and are in all respects in nroper condlion for transport by highway o cordi 33 to applicable srate aha hallo cR ed o Gernrnerdroe proper shipping name an a closs;fietl, packed, marked. on <br />hove a program in p!aae to reduce the vo ume and towcity of wgs}e generated to the degree I have delarrnined to be economlcaYy practicableafannd tha� hnvvq selectge quantity ed the prec rcobietmotho <br />o! r. ea!ment, storage, ar disposal currently a eclable to mo whch rninlrnlzed the presens and future threat 10 human health and the ercvronment OR, i1 I am q small quarrhry generator. I have made S <br />a good roils porter to Ay tmino f my waste generation and se!act the bast waste management method that Is available to me and Ihot i con afford. All used oil from tho generator listed above ! <br />Y41 11 be L-menorted o ly Io a facLtty p�rmlited by the State or California to produce used al Into recycled dl OR a faci!ty that is required to comply with Federal regulot!ons appikable to the <br />nanesgetnent Ot Met a4. N1 relevont information regnrrling mown or suspected hazards associated with this wrote has been dhclosea, The customer Ogrees to pay reasonable costs and atiomey <br />teas incurred in rho co'lection of ih!s oblition. Vanua for ur oses Of th s ab!! atop shall be In So!ano county . ! declare under noll ' <br />of a u that the for ain s true and correct, <br />DISPOSA YCLING FACILITY: on Station industrial t Agriculture I Government I Marine Other I Indvatnal wbrlcoting <br />44561Ra�d308 Hwyr�SflmrSr(CV16Fna it)2f RorKi n <br />•• 401 w Glomal Rose Z Almond Dmm <br />1 <br />,CA 9r6t6 2 8t* t4V89043 3 a7sn logia Cly 35133 d Bertresq, GA 3410 B %mr Si;:AVt, CA 69429 <br />96.4100 CAD %24*W4 MW 2203 WT Mttno 408 4.4t (IM CAD IZU1 110 5%5412125 CAL 00[l3d M 775 577 9f10t R1D =3%= <br />Prlr!t Name Geniarator's nptu - <br />E hereb cettifv hove r that l h Y Ortyers SI �.nature <br />Y 9-G--ar�have the aulhority <br />