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_ J r <br /> OCg OIL <br /> w 7 �-1 <br /> INC. CONSERVATION DATA f — �� ; <br /> SERVICE DATE e,=j —' TIME <br /> GENERATOR S <br /> 3256 N 'MARKS AVE INC. NAME <br /> FRESNO CA 93722 4919 CONSERVATION <br /> (209) 485 5495 THRU GENERATOR S <br /> (209) 673-0622 RECYCLING EPA NO -a L. `!'C r - =;t Q <br /> FAX (249) 485 5497 GENERATOR'S <br /> ENVIRONMENTAL PROTECTION AGENCY ADDRESS 411 0 <br /> ' I D NO CAD 981 428 022 <br /> CITY, ZIP T?Z AC <br /> DEPT OF HEALTH SERVICES �M 7T=- Li Li I�� r <br /> HAZARDOUS WASTE HAULER MAILING DRESS _ =7 <br /> REG.NO 1943 <br /> CRY. <br /> GENERATOR S CERTIFICATION. I hereby declare that the contents of this STATE,ZIP <br /> consignment aro fully and acuratefy described above by proper shopping U &DOT DESCRIPTION <br /> name and are classified. packed, marked and labeled and ara in all <br /> respects in proper condition for transport by highway according to sp- t� JrC�t L*��� � <br /> piicable mtematwnal and national govemmental regulations I further un- <br /> derstand that I may be heli liable for all costs incurred in the legal disposal <br /> Of all or part of any material which is picked up but not specifically listed on T� <br /> the invoice SPECIAL HANDLIN INSTRUCTIONS <br /> Unless 1 am a small quantity generator who has been exempted by statue <br /> or by regulation from the duty to make a waste minimrzat+on cab cation MMNS RECEIVED g S g yy qi, <br /> under section 3002 (b) of RCRA. 1 also certify that I have a program in <br /> Place to reduce the volume and toxicity of waste generated to the degree i <br /> have detarmined to be economically practicable and I have selactstl the UNIFORM HAZARDOUS WASTE <br /> method of treatment storage or disposal currently available to me which MANIFEST-DAILY <br /> minimizes the present and future threat to human health and the environ- <br /> merit• a <br /> (DRIVER TRUCK NO�L�1111+'e�C} ) <br /> GENERATOR'S r `- <br />`' SIGNATURE \ (GOV CODE CONT CODE <br /> QUANTITY 0ESCRiPT10N <br /> — - -- <br /> PLEASE PAYFROUTHIS INVOICE <br />' TERMS NET 10 DAYSPAST'DUE ACCOUNTS THERE IS A FINANCE CHARGE OF 1 5% <br /> PER MQNTH ICH IS AN ANNUAL PERCENTAGE RATE OF 18% IN THE EVENT OF <br /> IA <br /> JUDICL PROC EDINGS TO ENFORCE COLLECTION THE PURCHASER WILL BE <br /> LIABLE FOR ATT NEY FEES d EXPSNSE OF COLLECTION <br /> t MER' NA RE - - - - <br />