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F ENVIRONMENTAL SERVICES, INC. ss <br /> REM�UVV ENVIR sso <br /> Send Pa►neent to: Phone: 800-559-3274 EPA ID#CARO-00171017 CSL13 A-Eng 41022111 INVOICE # a <br /> ST'1.0 1'reinont Road Phone: 707-448-3700 U.S.DA.T.#1484667 Small Business#56427 YNV� °.`. <br /> 022 <br /> 1)i\on,CA 95620 Pax. 707-448-3499 D.T.S.C.#3544 Date + a <br /> ramotlwenvironIli e11titI•cnIII CA#274461 <br /> SITE ADDRESS SlaING/MAILING ADDRESS <br /> Y � <br /> �y <br /> CustomerCustomer �b <br /> 2526 W Washington Street Arno-Accts. payable <br /> Stockton, CA 35203 2526 W Washington Street <br /> Siockton, CA 95233 <br /> E.P.A. ## _ GAL I goo 359 102 Phone <br /> Additional Contacts: #2063509 (209) 609-5643 PAYMENT TERMS: NET 15 <br /> PRODUCT--SERVICE[INFORMATION/PROPER SHIPPING DESCRIPTION/ ILL OF LADING <br /> 7 ■ 14 . 21 • 30 • 45 • 60 • 90 • 180 • 365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> Ir r-tri t IL&223 021 7617 3LIK- <br /> \jNort-R(RA rardous W30D Solid i(>Iy Debris CA 223 021 765 733.61it i rn 6U IN <br /> 11 Urlivors 11 waste Devices For Rocyd ng!Msc.E-Waste Wa y Z i +et 200.00 <br /> US EPA Marldr ft: 'be Per Manifest N/a .:sl 30'00 PO <br /> Z Service Vehicle htcluc . UP to 1hr on Silo N/a 150-00 150 <br /> r <br /> tT On Shofar More Thar 1hr.Labor Rates A y wa Hw 82.50 <br /> Eneo&Sectsity SLrrdtarge Nla 15%of Trans. 15% <br /> 559 Drum UNIA2 fpr Rdplw mea N13 Drum `52.50 '1 <br /> r <br /> SERVICES REQUESTED BY 5Q90JS—Ted Fmmouwr uesled gM Hutfm ll trjU-3W-1472 TAX <br /> We <br /> Accet P.O.# TOTAL CHARGES: <br /> GF'NERAT01"CERTIFICATION: t hereby declore Thal The contents of Iola consignment are fully and accurately described above by proper shipping name and are classified,packed.marked.and <br /> lobeted.and ore in oll respects in proper condilion for transport by highway according to applicable state and notional govemment regulations. If 1 am a large quantity generator,l certify that I <br /> have a program in place to reduce the volume and toxicity of waste gornerat cc[to the degree I have determined to be econombcary practicable and that 1 have selected the procticable method <br /> of treatment.storage.or disposal cunen;ty avaifoble to me which min,mked the{,resent and future threat to human health and the environment;OR.it 1 am o smatl quantity generator,t have made <br /> a goad foiih effort to minimize my wosle generation and selecl the best waste management method that is ovolabie to me and that I con ottord. AM used oil from the generator listed above <br /> will be tronsponed only to a facility permitted by the Stale of Colilornla to produce used oil Into recycled oil Ol o Facility that is required lo Comply with Federal regulations appkcoNe to the <br /> mdnagernent o1 used all NI refevont information regarding known or suspecfeG haTards associaled with this waste has been disclosed.The customer agrees 10 Pay reasonable costs and attorney <br /> fees incurred in rhe copeclion of this obli anon. Venue Far ses o!Ibis oI]I' ❑lion shop be in Solp no county. i declare under nal of -u IheI the for of is true and correc 1, <br /> DISPOSAL/RECYCLING FACILITY: Collection Station indusmol Agriculture 00vemment I Marine I Gator Industria I Lub!g[Wi ig <br /> F•:TrprA Ira f 27WE im9l <br /> �i <br /> enwalces signotA Ddvees%nature <br /> hereby Certify thol.l have react u.nd hove_the outhori f bin a above kisted_�eneratrN t th term n fhe reverse side of this farm. <br /> F!U!-RL v.J&J 6 <br /> State Low Requires that you keep this Receipt/Bill of Lading an rile no leas than 3 your:. <br />