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11e9 ON of CodUends, LLC <br /> . <br /> Mailing:P.O.BaK 730,Rivialbank CA 9&W <br /> Claus FW.Mft 11,MotleNIMCAMM <br /> EPA#CAL0003M73 <br /> CA Tr 0 5711 <br /> sip <br /> CA ' #876150 <br /> Job Sites <br /> Invoice: 9 <br /> GENERATOR: <br /> 0tsfPAIps '•r i <br /> �•' 8i11 Tbr <br /> nt Person: <br /> Name: c. �, ';w Narnd: <br /> Address: - Aridridss: <br /> City,$tate,Zip: <br /> }ate Customer P.O. Net 10/C.O.Q./Cash/Check Driver/Truck(k <br /> PRODUCT ° CA Mani # Quantity Units Prim AnvxW'' <br /> NovoRCRA Hazardous Waste Lktuld(U90d Ca):i.uabrkating 221 <br /> Non�RCRA Haurdow Waste Liquid(Used t31);Industrial 221 t,1ad <br /> RA Hazardous Waste liquid 11,1*0 Automotive Antf-freeze) 134 Gal <br /> NmMFIA Hamtous Waste Liquid(oil 8 Water) 221 Get <br /> !tit HazwdMA Waste Solids Contaminated with Used till 223 Drulrt(s) <br /> dauu Walle Sollds Contaminated <br /> Drained Und On RW Drum(s) arum(:) <br /> Drum(*) Each <br /> Tmnsliortatim 8 Tnrdc Time ham. <br /> Hazodous T"I PMMV <br /> Cusliomer s Q BullDog Pays❑ A <br /> UnMM on Oft Consorted M Realpt(ehvaoe)Terms:Ac aunts an na:tear of she mWh +& Total <br /> Pee the Aoeowrb will be a FWAANCE CHA14GE M�AEReODIC RATE of 1•1h per mare h,whloh Is the PEMENTAOE RATE d I <br /> I heraW certify that t have not rnboed this waste with any other waste,that the total halides are less than 1000 PPM,aril that the not contain <br /> arW 's.I further agree to accept the additional.charges for legal diripcisal ff this,waste Is.over 1000 PPM,total halides,or or contaft am <br /> 'sONNERATr r <br /> • r <br /> or <br /> TH I ERD : DRIVER SIGNATURE: <br /> INVOICES OVER 10 IDAYS ARE SUBJECT M A 1.6%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF COURT ACTION <br /> NECESSARY TO COLLECT THIS INVOICE. <br /> OM hereby advises fife above Generator the Generators shipment of used od may be ftgnspoeled to a ttultty that to requirW to corrift with federal regulaillons <br /> applosibile to menagemew of used o8,but that Is not required to comply with rhe more stringlint requiremilift applicable to hazardous waste Qe <br /> Is autharbted to fill put an application for 0TSCN.California fadI ies that handle or pmcm used oil are re4ulred to meet those more and mom milt-al- <br /> stale faeltities that pr ea used all also meet those requiramerte,engineering cerillicatiorts of tank Integrity,and Anmxaai lar dooms an socidental rebases.It to <br /> lawful to Send used oil to out-01-state facilities that comply only with ural used oil management stanelarde and not these more stringent requirements.By ttte Imialm <br /> the generator ow0es that the generator has established a program to reduce the volume of W&AW arld toxicity of the hazardous waste to the ,as by <br /> 9wrieralbr,to be sconomicW practicable.By both parbas signing thea invoice 9 will serve as an agreement that B Cil will submit Confirmations for <br /> to the geriefaw that their waste has been transported to a lid troaknent Or Wangler amity. i <br /> at SAL/pECYCu"d QAC L,1Y <br /> FNVERSANK OIL TRANSFER ® RAMOS ENVIRONMENTAL SERVICES E: <br /> SM CLWS ROAD SM,#t 1 1515 SOUTH RIVER ROAD ADDRESS: <br /> RIVERBANK,CA 95387 W.SACRAMENTO,CA 95691 i CITY <br /> 181 (918)371-5747 STATE,ZIP: <br /> EPA#CAL0001IW816 EPA#CAD0440035W PHIONE; <br /> EPA ID: <br />