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FRE I,OUW ENVIRONMENTAL SERVICES, INC. <br /> Send Payment to: Phone: 800-559-3274 EPA ID#CAR000171017 CSLB A-Eng##1022665 <br /> 6940 Tremont Road Phone: 707-448-3700 U.S.D.O.T.-i�1484667 Small Business##56427 INVOICE # 87518 C b <br /> Dixon,CA 95620 Fax: 707-448-3499 D.T.S.C.#3544 ��}} O J O <br /> www.fremouwenvironmental.com CA#274461 Date 1L U I� <br /> SITE ADDRESS BALING/MAILING ADDRESS <br /> Customer I. eftia Engin Customer if+e <br /> 6665 Hardaway Rd ATTN: Accts. Payable <br /> Stockton, CA 95215 6665 Hardaway Rd, <br /> Stockton, CA 95215 <br /> E.P.A. # 3k . � �. Phone <br /> Additional Contacts: #3603NO (209) 931-1670 PAYMENT TERMS: NET 15 <br /> na L�MrIrMn <br /> PRODUCT-3ERVICIE F NFORNIATION/PROPER SHIPPING DESCRIPTION/BILL OF LADING <br /> 7 • 14 • 21 • 30 • 45 • 60 • 90 • 180 • 365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> b� <br /> ch 30.00 <br /> Stop Fee Inehrdes Up to 1 hr.on Site In Rlxtin NIA sbp 75.00 <br /> ft 9 <br /> Fee Includes to 1 hr.on SVa Out of Rana NIA Sbo 150.00 <br /> If an site for=te than 1hr. LaborRabs NIA Hour 75.00 1'~1 <br /> 55g Or=LWA2 for Re lawment NIA brim 52.50** <br /> ML?1�4 �rb unbiu:�am-*,i S11D.Q; <br /> r <br /> SERVICES REQUESTED BY I d FM wLequested by Joe Stocktgn 249.931-1670 TAXI(7 % 1 q � <br /> Acte t ) f P.O.# TOTAL CHARGES: <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment ore ful y and accurately described above by proper shipping name and are classified,pocked,marked,and <br /> labeled,and are in all respects in proper condition for transport by h-ghway a=cordsng to appl cable state and national government regulations. It I am a large quantity generator,I certify that I <br /> have a program in place to reduce the vo ume and fox-sty of waste generated Iu the degree i have determined to be economically practicable and that 1 have selected the practicable method <br /> of treatment,storage,or disposal currently available to me whir h minimized the present and future threat to human health and the environment;OR,it I am a small quantity generator.I have mode <br /> o good faith effort 10 minimize my waste generation and sele-:t the best waste management method that is ovailoble to me and that I con afford. All used oil from the generator listed above <br /> will be transported only to a facility permitted by the State of Co ifornio to prod.:.e ised oil nto recycled oil QR a facility thap is required to comply with Federal regulations applicable to the <br /> management of used oil. All relevant information regarding known or suspected hazards asset aced with this waste has been disclosed. The customer agrees to poy reasonable costs and attorney <br /> fees incurred rn the collection of this obit ot:on. Venue for puposes at this ob potion shal be in Solana county. I declare under enal of 4.fury that the forgoing is true and correct. <br /> /DISPOSAL/RECYCLING FACILITY: Collection Station Industrial Agriculture I Govemment I Marine I Other Indusshial wbwring <br /> Oil <br /> l�•--RersmFiwironrerNtianiraa - -- — -rT•• � - - — <br /> M tftYdA M FRd <br /> I Ga[Um CA 95215 <br /> 20119:i1•t870 CAOD4d000ti56 <br /> f - <br /> f 1 <br /> Ft n Name T Generators Signa0e vet's Siggnature <br /> M,hereb+r e4 that I Fave read arse fronts fMe Oul3ryrity to bind t[�e ve list+trf g t�I!@ lPrr a+- i 13V$r 59 side of Phi$10M <br /> Stnta I nw Rwnuiraa thm vnu kaon thin Receintl8ill of Ladino on file no less than 3 veers. <br />