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Pape Machinery <br />HAZARDOUS WASTE RECEIPT <br />Pape Service Provider: PM - French Camp <br />Address: 8621 S Eldorado St. <br />French Camp, CA 95231 <br />Telephone: (209) 983-8122 <br />EPA ID#: CAL000291922 <br />Date of service: <br />Location of service: <br />Customer: <br />Address: <br />Customer EPA ID #: <br />WO#: <br />(if different from customer address) Copy 1 - Customer Copy 2 - Pap6 files <br />Retain receipt fora years from date of service <br />Wastes picked up: <br />Gallons <br />Lbs <br />Units <br />Used Oil <br />Used Antifreeze <br />Waste Fuel <br />(circle type: Diesel Gasoline) <br />Waste Diesel Exhaust Fluid (DEF) <br />Used Gas & Oil Filters <br />(circle type: metal non-metal) <br />Battery core(s) <br />(circle type: forklift automotive) <br />Total battery weight, estimated <br />Oily solids / sorbents, estimated quantity <br />Other: <br />Customer should retain record for 3 years from date of service. <br />Service Technician Name (print): <br />Service Technician Signature: <br />Customer Name (print): <br />Customer Signature: <br />NOTE: ALL WASTES ARE THE RESULT OF MAINTENANCE / REPAIR SERVICE PROVIDED AT THE CUSTOMER'S BUSINESS LOCATION. <br />ALL WASTES ARE TRANSPORTED ON THE DAY OF GENERATION TO THE PAPE FACILITY FOR CONSOLIDATION, THEN TRANSPORTED WITHIN <br />THE ALLOWABLE ACCUMULATION TIME LIMIT TO A DESIGNATED TSDF BY A LICENSED HAZARDOUS WASTE DISPOSAL CONTRACTOR. <br />