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MAY/25/2016/ ED 11: 16 AM FAX No; P, 009 <br /> SUPAU. qnw@ <br /> #HOT cot <br /> I INVOICE9'l �311 '1 <br /> t OICUENVMBER 75853 <br /> WAQU U$Q- CUSMMF-RNUUM13 <br /> 10928 CAST SIERRA AVENUE 397310 <br /> CLQVIS,CAUFORNIA 9361%-9311 <br /> (559)297�0IO2 0r(559) i <br /> EFA#CA f6 126•S'YATE j0ff 1#49 ' <br /> SOLD TO: t `?Ol SHIP TO: <br /> w $ r @ ECA 0.i i7 <br /> KeWemm OL 0239 <br /> PLEASE PAY BY INVOICE Net 30 DEWS 5.— <br /> e:& ��z'w. ...'•� x:e��cery< ":air <br /> REALS: 441 cis <br /> WASE RENWAL: <br /> TvT, i# 1 <br /> WA.5TF# QTY l W t i-gaE ' 411 <br /> s5 <br /> MANIFEST# 1613%14!j!j G 3f: wAsTE# QTY` t Q%O tL 'S G I,%A C kaC,, <br /> TSA „ K Ae WASTE# QTY <br /> t. RQ.Waaft Coxw&a L,tqu d,MO.S.,3,UN1760,Pg W <br /> i. L 2, rironmu�at€p Sabsupme;Liquid,N.Q.S. <br /> (k�retai nsssd Sitt4 ?>9.P;TAE <br /> 3. Aqueous Solmt Waste- 9I.itgttid Non. dems <br /> a. RQ,Har Wastt„Soltd,N O.S_,CAss 4 KA3m,Fg M <br /> 5. OiT/wutea Sludge-Mass Z(;;a7 vftm N.O.S.9r ri ,Pg M <br /> 6. R=udous Waste,N.O.S.,Waste FWnt kleleted Matww,UN1263.3,Pg TA <br /> 7. LJW33z66.Ccaticasi vc Liquzd Bask,Isaoxputic N.O-S.(chmmkiM,lead),8,PS;M <br /> S. Non RCRA Hazardm Wavle Solid(Oily Solids) <br /> Cstatficate of Gomplianca rvv. 1849 <br /> rJ GEBQG <br /> I c*rV y that the arnoune shown above to be correct.NTS Co_car9tesVat the above waste will be <br /> transported to an airthofLzad wWft t wR tsWi y 9A accordance we appka&e Sawa. <br /> Drivwz re <br /> The generator etas estabrishad a pugmm to faame the volume,quantity and t of Weate to <br /> a degree m be economfcWy practicable. <br /> 5 _ <br /> Customer PrIptW Name 17 j <br /> Signature of CusWmar <br />