Laserfiche WebLink
CLEARWATER <br />ENVIRONMENTAL MANAGEMENT, INC. <br />REMIT TO: <br />P.O. Box 2407 UNION CITY, CA 94587-2407 <br />(800) 499-3676 FAX (510) 476-1786 <br />CAR 000 007 013 <br />BILLING, INFORMATION <br />WE ACCEPT VISA & MASTERCARD <br />MmlerGarO , l.r . <br />P.O. Box 349 SILVER SPRINGS, NV 89429-0349 <br />(775) 577-9001 FAX (775) 577-9199 <br />N VD 982 358 483 (800) 471-2105 <br />JOB SITE <br />Bill of Lading <br />Invoice # 190940 <br />Date 16 <br />lo <br />NAME2!� <br />NAME <br />PO# CASH CHECK <br />2J1/a <br />�- <br />ADD "IS 2— <br />/ <br />ADDRESS <br />CUSTOMER EPA ID # <br />CITY T E `ZIP _ <br />, - 937 C,l <br />CITY STATE ZIP <br />PROFILE # <br />`�� <br />PHONE N . <br />PHONE NO. <br />CUSTOMER ID # <br />PRODUCT PROPER <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />SHIPPING DESCRIPTION <br />CODE <br />Used Oil, Non-RCRA Hazardous <br />Waste, Liquid <br />221 <br />Used Automotive Antifreeze, Non-RCRA <br />Hazardous Waste, Liquid <br />134 <br />Oily Water Non-RCRA Hazardous <br />Waste, Liquid <br />Non RCRA Hazardous Waste Solid <br />Oil Contaminated Debris / Soil <br />Waste Combustible Liquid nos 3 <br />UN1993, PG III <br />Non Hazardous Waste Liquid <br />10 <br />U <br />Non Hazardous Waste Solid <br />p <br />Transportation Charges <br />T <br />Washout Charges <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />r <br />Pressure Washer <br />Other: <br />DISPOSAURECYCUNG FACILITY: Collection Station IndustriTOTAL <br />/t1 � <br />Siemens Water Tech + J 0 <br />ANiso Independent Oil Clearwater Environmental Mgmt. Inc. <br />5002 Archer Street; Alviso. CA 2430 Almond Dr. 5375 S. Boyle Ave; Vernon, CA <br />CAL 000 161 743; 95002 Silver Springs, NV 89429 CAD 097 030 983: 90058 <br />(510) 476.1740 NVD 982 358 483 (800) 266.7747 NET 10 DAYS <br />(775)577.9001 <br />Pacific Recovery Resource Seaport Environmental Commercial Filter Recycling <br />3150 Pico Blvd; Los Angeles, CA 675 Seapon Blvd: Redwood City. CA 33210 western Ave; Union City, CA <br />CAD 008 252 405; 90023 CAR 000 140 624; 94063 (510) 487.9227; 94587 <br />(650)364.8154 <br />DeMenno Kerdoon Crosby & Overton <br />2000 N. Alameda Blvd; Compton. CA 1630 W. 171h Street Long Beach. CA <br />CAT 080 013 352: 90222 CAD 028 409 019: 90183 <br />(310)537-7100 <br />I hereby certify that all 0 la ubmitf in this nd all attached documents contain true and accurate descriptions of the waste. AN relevant information regarding known of suspected hazards <br />associated with the st s i Closed. centty th ve an bushed program to reduce the volume of waste to the degree to be economically practicable. <br />DRIVER GENERATOR r <br />SIGNATURE / * TURE <br />