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FOR SERVICE CALL:
<br />1-800-'727-2879
<br />RV iC
<br />TRANSPORTER FPA 4 GAD,1,528277�.'26
<br />P, €
<br />DRUMS Pity: EMPTY DRUMS._ : � �6� � �t�e...... ........... t,S€:.
<br />GENERATOR WASTE CERT0CATION(PLEASE CHECK THE-.' APPROPHI f t (, 4O)
<br />By stgoirns bc!o e I N»eby avrtiPy Mir
<br />(Waste ofl generatoricustomer NIUS V check ONE of 'he folio inn
<br />j e371 t have nor mixed any of the waste described above with any other hazal -waste, trl total tyahc;e cunt2nt is LES 'na-- X0 ppm, and .i -c.
<br />comp€fed v 90, the rectuven,ents of the appffclbfs C:ailfrsl LsEJ o]€ managem es€ regulatloQs to uatermiae €his ih: tree 'aq r.e, a ascent €ate aeiSrt'n<.,4� ,rh yr _ ;n%'.! uu.. _is v�ttzt Le
<br />-te mfomwtlon t have provided about Fhis vvaete is incorrect
<br />! 42 ! have not vnfxeci all ci the, waste described above with any otlte!€razz€r?at.s waste the ro€z,i ha4ldt, curie.nt s i1-E£@TrR °Pian ? i�;�
<br />have providers a Woad Oil Environmentg! Services to rebut. she f,1eS.l.nf..lort _ha, .hi <, sas :•+:3g n -'e.a v ith ut.<r �tr z.. _° ¢Ire : dd
<br />charges to( Ile diposat of this wasfe of the information I have provided about this caste is "sn=iect
<br />,:,..� ti3Y This waste (s from a tank wfairi; cotfeets vdaste afl Prom fvouSahcld "do-if-yourselp i'01W} and or aoa5d=tic a€iy txe!�'�nf s;radE tar .. „e r ",t.:.' �_.SC ".- ,c?i: r_ ?� i.tc
<br />k'rtnWletlt;E. the cniy' waste oil corrtaired act my ©€Y! CES(�G cal€eofiorl tan€c €s scs€ey from D3: an s'w CFSGC sou=cels_. I lr -l:, Plat nz:Ye_s t'.,- ..<sre („ .h d l,;;r 13 7 .r..,., ...s . , i -.a +C n..
<br />fraud other sources- I rsgfee to acce=pt }.he additional charge= fur ciit,posal of t€tl5 was?c if the info=,nation i !l, pro`.Wccv zut this
<br />(All generators/ customers Pl read the foHo °j�nq text
<br />I coil#y t(aai I have a pmgram in place: to reduce the'✓alul ad3d Wxer#y of cvastc gearrnPa:d to me;iegr4^_^ € iia,;e df lerl to her
<br />❑cacflca6ie method al ireatment.'i0fage, ordisposal cUtfe'l avwlnb* W it vdhch tbihirn i2e4 she present a,ici il:"-iat!C, ruf ; ri i,al-c The F.^.vii l_
<br />This Sndivtduiil Stignirig in the SPICe Set forth below on beliAlff of custovner "cprE'SP rIS and th 'Y ,e ! a's tPf -. 'aL tll lo. 1,3 x EL r Y ! - -r i 4
<br />a;5d materials ase irl anti accurate as paekacse[E, merk�a�, and,abeled, are re.-aP1g fur .ran.,�on€tr.:lJ : v. ac--oruz rice yi7h af3p Eicd.11e 5t�:. c. anti! ced a < , ar el , , r i ?.r.- s t , ;a ^.
<br />by Bhe St.andaret Terms and Conditions ort the revetrGe side of thla Service orJer.
<br />Service of€ters -,vith ,all assoeill hazarde[,5 wa le mjrit fl (either Site specltic GE' coli ol�da.Ed3 1e s'ljbj1 ,ct to 3i €=l rec.. E hes, Pee, -%;V el' 3 :c- I lttaii=��:
<br />or cue eManifel progral These lees vary based on Mdnifent type Applicible fees wilt alapsar an your t�i!!in lr,trpiie.
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<br />Cust6mer Signature, Date Driver Si,flnafore Valo
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