12 a
<br /> 05HOT TANK SUPPLY CO. INVOICE DATE f
<br /> INVOICE NUMBER
<br /> #1 IN AQUEOUS CLEANERS CUSTOMER NUMBER
<br /> 10328 EAST SIERRA AVENUE
<br /> CLOVIS,CALIFORNIA 93619-9311
<br /> (559)297-0102 or(559)292-4965 ` `4C.
<br /> EPA#CAD981690126•STATE ID#1849
<br /> SOLD TO: i W ���� � SHIPTO: Ej US ECOLOGY HWY 95
<br /> Stockton, CA 95203 BEATY, NV 89003
<br /> CAI V^0025613� NVT330010000
<br /> ❑ CWM 35251 OLD SKYLINE
<br /> Bob Race RD., KETfLEMAN CITY, CA 93239
<br /> CAT000646117
<br /> TERMS P.O.NUMBER SALESPERSONIDRIVER
<br /> PLEASE PAY BY INVOICE Net 30 Days
<br /> ITEM NUMBER OUANTITY PRICE TAX EXTENSION
<br /> }3 DESCRIPTION
<br /> RENTALS: .i� LL`
<br /> JJ L
<br /> MDSE: f / f1 V'
<br /> SERVICE:
<br /> WASTE REMOVAL:
<br /> MANIFEST# ! /c`�it'd/ l-WASTE# —QTY
<br /> MANIFEST#l C 2` C L {;t l WASTE# QTY .�
<br /> MANIFEST# WASTE# QTY
<br /> 1. RQ,Waste Corrosive Liquid,N.O.S.,8,LTN1760,Pg III
<br /> 2. Aqueous Solvent Waste,UN3082,Environmentally Hazardous Substance,Liquid,
<br /> N.O.S.(Metal Contaminated Sludge),9,Pg III,451,D006,D007,D008.
<br /> 3. Aqueous Solvent Waste-Class 11 Liquid Non-Hazardous
<br /> 4. RQ,Hazardous Waste,Solid,N.O.S.,Class 9 NA3077,Pg ID
<br /> 5. Oil/Water Separator Waste,UN3082,Environmentally Hazardous Substance.Liquid.
<br /> N.O.S.(Metal Contaminated Sludge),9,Pg IT 451,D006,D007,D008.
<br /> 6. Hazardous Waste,N.O.S.,Waste Paint Related Material,UN 1263,3,Pg II
<br /> 7. Aqueous Solvent Waste,UN3266,Corrosive Liquid,Basic,Inorganic N.O.S.
<br /> (chromium,lead),8,Pg III,121,D002,D007,D008.
<br /> 8. Solids Contaminated with used Oil,Non RCRA Hazardous Wasted Solid.352
<br /> Certificate of Compliance No. 1840
<br /> ❑CESQG
<br /> I certify that the amount shown above to be correct.HTS Co.certifies that the above waste will be
<br /> transported to an authorized waste treatment facility in accordance with applicable laws.
<br /> Drivers Signature
<br /> The generator has established a program to reduce the volume,quantity and toxicity of waste to
<br /> a degree to be economically practicable.
<br /> Customer Printed Name `
<br /> Signature of Customer
<br />
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