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1187eVANDERBILT CIR. #2 FREMOM ENVIRONMENTAL SERVICES, INC. SENVICE ORDER /INVOICE: <br />MAWCA, CA 95337 CAIP6RRlll COOLANt SERVICE <br />OFFICE: 209.239.5581 16381 <br />FAX: 209-239-6316 Transporter EPAII CAR000111011 <br />U.S.D.O.T. M1484667 D.T.S.C. 1113544 CAM 274461 DATE: <br />e1LUNWI MW ADDRM <br />Customer inlor�ntaltet1T1a1 Paw (a. Customer Jilterltmutltal Pa r Co. <br />3850 Hozz�14 RoadAc;ooltatt$ Paywe <br />S�ttDckton. (,'A95215P.O. BOX 788 <br />V- 06 cl, OR +45150 <br />E.P.A. # Ver dN1r12(7" Phone --2095111900 <br />�I <br />Additional Contacts: PAYMENT TERMS: NET 15 <br />Adam Mwt 209M31 3170811111111 <br />PRODUCT - SERVICE INFORMATION/PROPER SHIPPING DESCRIPTION <br />7 * 14 a 21 ' 30 45 ' 60 • 90 • 190 • 365 W/C CODE MANIFEST NUMBER AIIANTITY UNI18 PRICE AMOUNT <br />NON-ACRA How4oaa Wadi, E&OW (Utxd oil) CA 221 <br />"XWRCNA ilazlwdp 7 WbAm, fiaNd (oily Co lxl Dcdris, !) CA 223 <br />No►2- RC to IftzmAnuB Wrote L2guid (ally Sludgo') CA 22A <br />;Jon- RCRAliawdonv Waft Liquid t( dy VJllteri CA 223 <br />Noor- RCRA Hemniklus Waft Ltquld (Wale Antlfreow) CA 134 — <br />Nml- RC7tAHAwirdote WILSto LiquM (Elnlb Fluid) CA343 +� - <br />UM03A Aemoole,(ftalwah Rush Not inne1� 1L (�jv)Li *4nd ►. <br />111 !r 1 3 <br />wagj �I d,ir1D(le1 <br />RQ, UN 1263, WeAV POW RAiIr d MI90=b,3,PG1I "34=1 <br />RQ. UNIM. W0110 Flanamcblo 44gWeAo.a.,9,Kip (t(mrollr.u• 343/1)LL <br />11shwd UWdowamoulsewiml i+lbom 1 <br />Paw Wasltet SUVIC0 1 <br />, o11r-`t lZ IIetzca.�,,,y Luc,S rr(erwtp {1�� <br />1 c�� t ►� S 0175,2 C71 vV� 61 b3 Y)I, <br />Empty Drums Provide—e <br />Cion -D -Teta 04000 Teal KH: <br />Clean Y) N I Labels <br />SERVICES REQUESTED BY <br />A =pt <br />Remove ❑ JAI QA2.9 <br />Test❑• Pass❑►Fa;ll ❑ <br />O 109 ❑ 169 ❑ 309 Cl 689)( 0 F <br />GOMerator Knowledge O PPM <br />NMI Labor/ LAB Pooldrlg/3119 Cleaning <br />A/F UOF <br />P. O. # <br />TOTAL CHARGES: <br />Oqy Debrb — <br />I TAXI 7.175 <br />nd <br />IaOeIeO. Ono cm In OY �req�eecpls h condllbn t« hOn1P«f by NOhwW�•••••••• •••� ••�•� wwa �acvworary oO.CrIOeO aDOW aV rxaPet namo are <br />a ProGmm h pbce b reduce tfle vohmle and lobcl of wrote oma d�dss�tppo °q°Ik°W° s+fota and rgtlollol ppyammenl rapegtbns. 1 om a kttp6 yuonlflMyfepenaret«.1 cern9ffythof" a I have <br />keolment.storage, adbpwal ctnretltty avarable t itre whloh r�Nmised 1hs prssenfarldifuture }hreat�rlo uroan fNaf andh V e aunen OR. qu a emop qf� It}y peneraf� « I have odo o <br />laflh eiforl to rttINr111se my wcute par�era}bn and select the best waste m«lapanlsnf method that b avollab(e b m e and that 1 con afford. A0 wed all ham Che Denafof« bfed above w19 be <br />entporfed only to o tocRty permfNed y6 1he bYate of Ca1M«Na to pfoduce used ap Infa <br />used ol, AI relevant Ir11«m011on recycled oA OR a facplty tflaf b tequlred to compty wflh FedefW rogulotbm opplbable fo fjle management of <br />ootl9ollon o1 fhb odlgoflon, Venue t g n « ate t h e hw been dlsc7osed. fie pytomef aQrew to pp V reasonable cops and ottr)rrtay fees Incurred In the <br />purposes of fhb shol ba In Solana County. I deaaro under penalty a1 pe$ury that the t«gdrlg b tnls and correct <br />DI9POBAL/RECYCLINO F/)C 1111: Collecflan Station InduiMoi Aprlaulture 0ovsmtnenf Morins Oltlsr or ng <br />(I )b1KChm► l a) asmlydrli$er (s) Esot� lu ( 4 )(.tt=ft1tworm (3 )RM10cude: ( 0 )Chi athw.010 ( 7)r��r�aro�1Lu D.ds <br />7lOO Ctm<eaWtr/ - 11 Itu3l; u ey to acres hnLLC Indwitus. h Owdwo dba Ply N:al av,J',!m <br />(1071 fKl20 l8WelkspAtn m.NtirlJ71 1021BavwkR/ Ilplvwwftwtrmres lhrriwaoaad DomVAISUA <br />(r0716Y3C�C9 Va�wC4q."A 041.17 (>>I)'33t&M adjaseCA93tt; WNtAR7101S 1105WhildMhRd (St7itdS•IDD <br />OA7+XtP,2l41 (S1104;7tup NVt•,1D11fm10 + OfaMl.ltloa /0 7I&®7S It.nho <br />�CALM101di 1 n IAvd.vkCA9S741 CAWIM(dM <br />-7 .�I10 AJIDst.1115}G'•% �IBIJSI.O^.4r <br />/ 4• <br />41sr)srotor'o Blplalurs DrlvePe egrlah2rs �� <br />F hnvbv oarflir nhal r nad /y;d h�ai1!hR" .. . _. �� .. th. rhr "N^e.+11• thll toren <br />