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.A&&Environment61 Services Bili of Lading/Invoice <br /> P.O. Box 186 0 23 7.94 <br /> LaGrange, CA 95329 For Service A- <br /> 538-08861 Fa <br /> 538-0886/ Fax (209) 538-2498800-760-0019 <br /> 4 ,` EPA# OAR000176537 — <br /> ::'' Date / <br /> JOB LOCATION BILLING INFORMATION <br /> f+•.. NAME rF /. NANIB CASH Cl CHECK C <br /> .5 'ADD ` ADDRESS ONTACT NAME <br /> it 1r�IS, <br /> ZIP CO CITY STATE ZIP CO PO# <br /> PHONE NO. PROFS B NO. <br /> PRODUCT- ---- -- ------ ..._...._ <br /> . . WASTE. . { M�1NIBFST QUANTITY IJNri'S'---PRICE AMOUNT <br /> ?.. CODE NUMBER (Far Time Of Service Only) <br /> Uled oil,Non=RCRA Ha2ardcus Waste,Liquid CA 221 Gal170 , ;- ... <br /> Used Automotive Antifreeze,No&RCRA Hazirdaus CA 134 t Gal <br /> Westo,Liquid <br /> Non-RCRA Hazardous.Wast.Liquid CA 221 Gal <br /> Used Oil&Water <br /> Oil&Wete Non-RCRA Hazardous Waste Liquid CA 223 ('H( <br /> EzuPty Acum Delivery <br /> Drum <br /> i.' . <br /> Empty:DfuraPjckUp: Drum <br /> 3 <br /> D;aired Used Oil Filters. <br /> Dram v <br /> Labor - -�' <br /> Hous <br /> WM6-Flammable.Liquid Gas CA 133 Gal <br /> Non•RCRA$aiardoue Waste Solid CA 352 <br /> Wastetres <br /> Bach <br /> Waste Fliimtrlah)e Liquid Paint CA 331 Gal <br /> Osliert'.-_ - <br /> Other: <br /> Other: • r kt' <br /> TEST PA FAIL❑. ° PPM lost <br /> liection StatiojpL ❑Agriculture Sar�rEe A&S'Bnvironmental Services as the transporter ofyour TOTAL <br /> ❑.Government Souroe ❑Industrial Sgt(fc0 Hazardous waste may use another licensed transporter to <br /> ❑Marina Source f haul your waste to a designated facility. CHARGES . <br /> I)BSIQNATBD TSDF: ❑EVERGREEN ENVIRONMENTAL, 80 Smith Avenue•Newmark,CA a CAD982413262•(800)972-5284 <br /> ❑RAMOS ENVIRONMENTAL• 151S.River Road•W.Sacramento,CA 95691•CAD044003556•-(916)371-5747• <br /> ❑ � 5ANI1 OIL TRANSFER•5300 Claus Road-Riverbank,CA 95367-CAL0601908 M•(209)863-8181 <br /> 1}ST ENVIRONMENTAL-2430 Almond Drive•Silver Springs,NV 89429•.NVD982358483•(775)577-9001 . <br /> ALTERNATE FACILITY <br /> ❑ALTERNATE FACILTPY r' <br /> This is to-daft z t the 8bove named articles are properly classified,described,pa - A gervica cbgrge of I 1/2%permonth shall lie s�`BedPn 811 past dud.aceounts.Collections <br /> aged;marked find labeled,and are in proper condition for transpor tion,neoord' to costs,including.uttomeyl?faro,Will to past dud etxounta pla6ed forpollections: ' <br /> the applicab)a regulations ofjh&D atlm t of 7Yanep6rtatio r I Y Y TIiAT I HA�NOT7v MD THIS WASTE-WITH ANY OTHER <br /> :WA THAT TOTALRALIDBSARELBSS.THAN 1000P:P.M.;ANDTHATTHB <br /> W .DOBS OT CONTAIN_kW,* CB'S: <br /> SIGNATURE •r'" �. N 'S SI AMOUNT DU)3IN 30 DAYS <br />