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Independence Send Payment To: L <br /> Independence Environmental Services, LLC <br /> 438 E. Shaw Ave#377 <br /> Environmental Fresno, Ca,93710 <br /> EPA ID Number <br /> Services CAL000397021 <br /> indyenviro.com <br /> 800-971-8010 DATE <br /> GENERATOR/.SOB LOCATION BILL TO <br /> NAME PO# <br /> ADDRESS PHONE NO. <br /> ,CITY STATE ZIP GENERATOR EPA ID NO, <br /> PRODUCT CODE MANIFEST NUMBER QTY UNITS PRICE TOTAL <br /> Non-RCRA Hazardous Waste, Liquid 221 GALLONS <br /> (Used Oit) <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 DM155 <br /> Non-RCRA Hazardous Waste,Solids 223 <br /> Nan-RCRA Hazardous Waste,Solids <br /> Nan-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,Disposal <br /> r-- <br /> TSDF-OILICOOLANT TSDF-OIL FILTERS TSDF=-OIL/OILY 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 209-863-8181 <br /> CAL000102751 FICAL000091507 CAL000190816 Ej <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. <br /> Driver Name Driver Signature Date <br />