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1340 W Charter Way, Stockton Record ID PR0514418 <br /> 1/13/2020 Hazardous Waste <br /> Photo 3: Pa e 3 of consolidated manifests bein left on site. <br /> r i 1 ,. .- <br /> ;L <br /> ,MANUAL <br /> RK ORDER <br /> --ter i-- -- - us ecaLoGv <br /> L <br /> u� N. <br /> T1s eAuc ccnlswEHV"HU95 ..� <br /> 8EATTY,NV 89003 NVT3300100M <br /> •- I CUSTOMERISHIPPER: �0,r. ,- -, DESTINATION: <br /> 5694 E.Clinton Ave. <br /> Fresno,CA 93727 <br /> Contact Name: Phone Number: <br /> CARRIER:HERITAGE-CRYSTAL CLEAN,LLC EPA ID#:ILR 000 130 062 Phone Number: 877 938-7948 <br /> i' <br /> 16 GAL 30 GAL. 55 GAL PROPER SHIPPING NAME TOTAL UNITS <br /> DRUMS DRUMS DRUM <br /> I, I AgInws S�Ivenr wd=t:u;vS•I::.ul: — <br /> F{fi ; M. I fdammat�5!udg21.9.Pg III,+Sf.bQLfi,00N7,9008. <br /> 5 r 91011==.1 <br /> 011 s9allenlWaste,Ur13266,@IrrarvaLiquid, <br /> mean w7ry rel m•+vP�e.rm�eamNa�alsam PmpertyGazeilie0.aeudd�a,R�R�marked snalabFedaPJ oro <br /> I ` pw�edr6lar b,IrxnAWa aVm,auy to me appliuple reeulxtixsd Ne9ttraAmem of TranRoRAmn.asregVirPJ <br /> IxIn LaNNXluneile'IwmrtkViyHNe,mP69ilNretammimtlW,.WL>�adlwro'orpaaci®ner�ren[ItlaRVraNdf, <br /> Per - <br /> i! 1 i Cus omw5lr'r HCGCsr � <br /> SUMMA�Y OF CHARGES <br /> TODAY'S SERVICE <br /> 6 <br /> W5 G PROD. DESCRIPTIOND' UNIT 51 NEXT LOCATION UNIT Off, TOTAL / <br /> !� CODE GALS. SYC- COMMENTS PRICE CHARGE <br /> I i <br /> 1 '-FI'."Oe�` <br /> 1 I <br /> s-A e T <br /> Hf <br /> SERVICE SUBTOTAL <br /> 4 I, <br /> 1 ? { PRODUCTS <br /> - i UNIT QTY CHARGE <br /> PROD1ICT DESCR1PTfON: PRICE <br /> L ` <br /> d <br /> I. <br /> j1 I PRODUCTSALESTAX <br /> 1; <br /> SUBTOTAL PRODUCT IL TAX <br /> SERVIGEIPROOUCTS CHARGE SUMMARY <br /> I NINE INSPECTION TODAY'S SERVICE <br /> G� C 610MER HEREBY VEFIFIESTxATTNE ABOVE REPVICES WERE VEOFaRRED AxO YXAT SAIP9ERVICE9 ANL Twf CRARVES <br /> AIdY aP Tx£REFPRE ARE HEREBYALGEPFE0.LU6TPNEp AL6P HEPEBY RfAFF3RNSixf ACCURACY4N➢CPYPLFTExF4L PF Al PHODi1CT8TAX <br /> R R IN£ORMATEINCOWAINF311NmHE WORX OAOEft ANO ALL PDCVM£NTATION PAfvr �xP MENCERTIFKAfRMR COIRNxFL1NlM1x ©,I-FIL AMOUNT OIJE <br /> rYfEe L(#IrrmAAr] pfENED PAIR OF TXE 6FAVIfE AGRE£N,ET EETWEENNERRALE-CRYEtAL[I-EASI.L <br /> 1 GR CDxLEANWOTRE MATERALSTOEENANOLEL AHP1xE S£AVICE6T0 RElROVILEDAREi1WORPPRATEOxERFINBr XRFEREHLE TOTAL REM4TTANCE <br /> IYa'1'rdLPA+P1Aa <br /> G' <br /> ­B RRRY HEREOF ANO SAID ofA 1IOATiP ARE DEMREMADE FORSNEHERNLE6EMEREV Br RASYNRX 011PER <br /> faamafB� G P ppm CHECK NUMeERL <br /> NoB, G P PER <br /> t 12OWpay.o1,D8PrinredlnUSA FORM 20311 CUSTOMER THIS IS NOT AN INVOICE <br /> John Alaniz, REHS Page 3 of 8 <br />