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<br /> � r /R/A INVOICE RATE HOT TAN SUPPL
<br /> Y CO, INVOICE NUMBER 99647
<br /> 'rr r
<br /> #11NAOUEOUS CLEANERS CUSTOMER NUMBER
<br /> 10328 EAST SIERRA AVENUE
<br /> CLOVIS,CALIFORNIA 93619-9311 31D5049
<br /> (559)297-0102 of(559)292-4955
<br /> EPA#CAD981690126-STATE ID#1849
<br /> hlagnurn Equipment 013A N&STractor
<br /> SOLD TO: S
<br /> 1340 West Charter Way t�II=TD: [�5 ECOLOGY FIWY 95
<br /> 89003
<br /> Stockton,CA 952016 NVT33BEATT0, 10 00
<br /> CAL0002SS405 NVT330CiflD00
<br /> ❑ CWM 35251 OL©SKYLINE
<br /> Donny Tucker RD,, KETiLEMAN CITY,CA 93239
<br /> 20-5-944-5500 CAT000646117
<br /> i 'TERiHS:.' P.O M
<br /> PLEASE PAY BY INVOICE Net 30 Days 3ZZ�;7 Osbalda Maravib
<br /> Numb W
<br /> W :: '. ;;, tlAl[fETY PRICEip�X s,;.:,•,,E3LTNSIflH,,.
<br /> r :[JE.�iCFi)PTlt3lhl' .°r�':: ,,��.
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<br /> REI7ALTe L J f!5
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<br /> NIDSI:: HT J' '� 99.?
<br /> SERVICE:
<br /> WASTE REMQVAL:
<br /> NIAN1FEST# Wr1STr.# -2 QTY �r�S
<br /> 7yz
<br /> NfANiFEST#Z�n162..19 1=NvnsTE,7 QTY
<br /> MANIFEST s WnSTEff QTY
<br /> I. RQ,Waste Corrosive Liquid,V.O.S.,R.UN 1760,Pg Ill
<br /> 2. Aqueous Solvent Wastc.UN3083.Environmentally Hazardous Substance,liquid,
<br /> N.O.S.(Metal Contaminated Sludge).9.Pg 111.451,DODO,0007,DOGS.
<br /> 3. Aqueous Selvent Wasic•Class II Liquid Non-Hazardous
<br /> 4. RQ.Hazardous Waste,Solid,N.O.S.,Class 9 NA3077,Pg It
<br /> 5. Oill►3'aterSeparator Waste,UN3082.Environmentally Hazardous Substance,Liquid,
<br /> N.O.S.(Metal Contaminated Sludgc),9.Pg 111.451,DOO6,D007,[7008.
<br /> 0. 1hurdous Ww-lc,N.O.S..Waste Paint RelaIcd Material,UN 1263.3.Pg 11
<br /> 7. Aqueous Solvent%5te,UN3266,Corrosive Liquid.Basic,Inorganic N.O.S.
<br /> (chromium.lead)•8,Pg Ill,121,D002,1}007.DOOR.
<br /> 8. Solids Cnntarnill:tted With useJ Oil,Non RCRA Ha'rsrdous Wasted Solid,352
<br /> Certificate of Compliance No. 1849
<br /> ©CESOG
<br /> certify that the amount shown above to be correct.HTS Co.certifies that the above waste will be
<br /> transported to an authorized waste treatment facility I accordance with applicable laws.
<br /> Drivers Signature
<br /> Tho generator has js,1@5rishad a program to raducc lho volume,quanlity and toxicity of waste to
<br /> a dogree to be economic-Oy practicable.
<br /> 5
<br /> Customer P cited Name
<br /> TOTAL
<br /> V 1�
<br /> A
<br /> Signature Ts omor
<br />
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