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..Independence IndependeSend Payment To: <br /> nce Environmental Services, LLC <br /> 438 E. Shaw Ave 9377 <br /> Environmental Fresno, Ca, 93710 <br /> EPA 1D Number <br /> Services CAL000397021 <br /> indyenviro.com <br /> 800-971-8010 DATE <br /> GENERATOR/JOB LOCATION BILL TO <br /> NAME . � PO# ,_j�J <br /> ADDRESS PHONE NO, `7 <br /> CITY STATE ZIP GENERATOR EPA iD NO. rf <br /> r <br /> PRODUCT CODE MANIFEST NUMBER QTY UNITS PRICE TOTAL <br /> Nan-RCRA Hazardous Waste, Liquid 221 `1`712, GALLONS <br /> (Used Oil) <br /> Non-RCRA Hazardous Waste,Liquid 133 GALLONS <br /> (Used Automotive Antifreeze) <br /> Non-RCRA Hazardous Waste, Liquid 223 GALLONS <br /> (Oily Water) <br /> Drained Used Oil Filters DM/55 <br /> Non-RCRA Hazardous Waste,Solids 223 <br /> Non-RCRA Hazardous Waste, Solids <br /> Non-RCRA Hazardous Waste,Liquid <br /> Waste Paint Related Material 214 <br /> Waste Flammable Liquids 213 <br /> Waste Aerosol Cans 331 <br /> Universal Waste,Lamps <br /> Universal Waste, Batteries <br /> Empty Drums, New <br /> Empty Drums,c4sposal , <br /> TSDF-OIL/COOLANT TSDF-OIL FILTERS TSDF-OILIOILY WATER TOTAL CHARGES <br /> World Oil-San Joaquin,LLC Commercial Filter Recycling Riverbank Oil Transfer <br /> 14287 E. Manning Ave 33210 Western Ave 5300 Claus Rd <br /> Parlier, Ca,93648 Union City,Ca,94587 Riverbank, Ca,95357 <br /> 559-498-0240 510-487-9277 209-863-6181 <br /> CAL000102751 CAL000091507 CAL000190816 0 E: <br /> Generator Signature <br /> Generator certifies that it has established a program to reduce the <br /> volume or toxicity of the hazardous waste to the degree determined <br /> by generator to be economically practicable - <br /> I hereby certify that I have read and have the authority to bind the Generator Print Name Date <br /> above listed generator to the terms on the front and back of this form. ,, i y <br /> Driver Name Driver Signature '��:' Date <br />