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r <br /> 1187 VANDERBILT CIR. #2 FREMOUW ENVIRONMENTAL SERVICES, INC . j SERVICE ORDER / INVOICE: <br /> MANTECA, CA 45337 CALIFORNIA COOLANT SRRYICE <br /> OFFICE: 209 - 239- 5587 <br /> Transporter EPA# CAR000171017 <br /> FAX: 209 -239 - 6316 U.S.D.O.T. #1484667 D.T.SC. #3544 CA# 274461 DATE .* ' � � <br /> SITE ADDRESS BILLING/MAILING ADDRE <br /> fit ' = I X43 ` ta � <br /> Customer ' w Customer p y <br /> E . P .Au CAii, 000 3616 /�2p:. Phone _' 4i07 yr 154 <br /> . n <br /> Additional Confiacts : i6brieI PAYMENT TERMS: NET 15 <br /> PRODUCT - SERVICE INFORMATION / PROPER SHIPPING DESCRIPTION <br /> 7 14 21 30 45 60 90 180 365 W/C CASTE CODE MANIFEST NUMBER QUANTITYUNITS PRICE AMOUNT <br /> _ <br /> r.s4 sL-.vet•.." F{.�a. .�'Y `�i�iU��S' �.: TatV rater to l .�.it�'s'i1 � C,r��,+.'f z-�..S Elr� t,$i`i. :r"�':� .''"• ,^ r'n t f. "� "„+Y,+',� Y�'"tg.. i.'�" .f"t � <br /> k ✓ •< e <br /> r n _. <br /> khtnrdruz �darSa a [.44u16 Wskiud <br /> Empty Drums Provide ❑ Remove ❑ IA1 1A2 5g ❑ 10g ❑ 15g 30g; ❑ , 559 ❑ S P F <br /> Clor- D -TectQ4000 ' Test Kit$ Test ❑ Pass ❑ Fail ❑ Generator Knowledge ❑ PPM <br /> Transportation Charges/Additional Truck Time/Additional Labor/ LAB Packing/Site Cleaning <br /> 41 <br /> Clean Y , - °N Labels OII A/F $ t10F ._: ^ Oily Debris } <br /> SERVICES REQUESTED BY <br /> IT X �^ ' <br /> We Mimh pa 7: <br /> Accept P . O . # TOTAL CHARGES: " <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and odcurately described above by proper shipping name and dre classifled:7sacked, marked, and <br /> labeled, and are in ail respects in proper condition for transport by highway according to applicable state and national government regulations. If 1 am a `large quantitygeneratot I cerfify that I have <br /> a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of <br /> treatment, storage, or disposal currently available to me which minimized the present and future threat to human health and the environment: OR, if I am' a small quantity generator, I have made a <br /> good faith effort to minimize my waste'generation and select the best waste management method that is available to me and that I:can afford. All used oil from the generator fisted above will be <br /> transported only to a facility permitted by the State of California to produce used oil into recycled oil OR a facility that is required to comply with Federal regulations applicable to the management of <br /> used oil. All relevant information regarding known or suspected.hozards associated with this waste has been disclosed. The customer agrees to pay reasonable costs and attorney fees incurred in the <br /> collection of this obligation. Venue for purposes of this obligation shall be in Solano.County: I declare under penalty of perjury that the forgoing is true and correct. - <br /> DISPOSAL/RECYCLING' FACILTY. k.� Collect on�Sfdtian Industrial Agriculture Government Marine Other Indus w i ubroatmg <br />