Laserfiche WebLink
`Mar 12 09 08: 30a torn price 209-365-6781 p- 2 <br /> FREMOUW ENVIRONMENTAL SERVICES9 INC <br /> Send Pa%ment to: Phone: 800-559-3274 EPA ED#CAR000171017 <br /> P.O-E:Dx 2875 Phone: 707-449-3700 U.S.D.O.T.#1484667 INVOfICE/# <br /> Vacaville,Ca 95696-2875 Fax: 707-448.3499 D.T.S.C.#3544 Date <br /> www.hazu'astemnoval.com CA#274461 <br /> BILLING/MAILING ADDRESS <br /> Customer„17,� ' Customer <br /> Address/ $i. - 5., ,��ytynt 2!�/ Address <br /> City Len i State�zip City State Zip <br /> E.P.A.# �'�i�ZG'gC7 � — Phone Fax <br /> Phone Numbers: Office yam' p�J(✓ L� L�/� Fax( ) Cell ( ) <br /> Contact: _ / E-mail: <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 30 60 90 180 365 1 T T y 777;S WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMO T <br /> CODE <br /> IfiNon-RCRA Hazardous Waste Liquid (Used Oil) CA 221 &0 Gam_ <br /> Non-RCRA Hazardous Waste Liquid (Used Anti-freeze) CA 134 <br /> Non-RCRA Hazardous Waste Liquid (Oily Water) CA 223 <br /> Nan-RCRA Hazardous Waste Solid)Oil Contaminated Debris,501) CA 223 <br /> NOn-RCRA Hazardous Waste Liquid (Latex Paint) CA 291 <br /> Drained used of /Gasoline/Diesel/Filters N-A <br /> Combustible Liquid. N.O-S., NA 1993 (used o8)III CA 221 <br /> Waste Paint Related Materials,3 UN 1263,PG 331 000i <br /> Waste Flammable Liquid,N.OS.,3,UN 1993,PG H(Gasoline-Diesel) 3310.0.18 <br /> 331 <br /> Waste Aerosols,N.O.S.2.1, UN 1950 PG DD01 <br /> Empty Drums Provide D Remove O 5g ❑ l Og❑ 15g❑ 30g ❑ 55g❑ S P F <br /> Clor-D-Ted Q4000 Test Kit: Test❑ Pau❑ Fat ❑ Generator Knowledge ❑ PPM <br /> Transportation Charges/Additional Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> Additional Equipment Supplies <br /> Hazardous Waste Labels <br /> Used 08 Disposal Fee <br /> BMraarlwlM SarlftoR►DMa Road 308 DaYla,CA MIS CADa8244e874 (aro)795.4400 TAX MMM <br /> Wep P.O,# TOTAL CHARGES: <br /> At <br /> GENERATORS CERTIFICATION: 1 hereby declare Incl the contents of the colign"m are fully and pecumfely descrit e l above by Roper shipping name and ael,classi ed.pockel modied,and <br /> spooled,and ore in all respects in proper condi ion for transport by highwa/occadfng to applicable slate and national govemmenl mr,pro lens. N om a sage quonlXy gerremtor,l eed0y Ilial I <br /> have a wogrom in place to reduce the volume and to[icity of wails g.nommal Io live clear.I hove deteh,l to De economical,Ractlpab4 one that I hove»lected the procNcable,method <br /> of heennenl,derel or disposal currently available to me which minkn'¢ed Ine Diesel old fulure three,to hurnon health and the environment;OR,if I per,o smog qualib/generates,I hove read@ <br /> .good bilk.flat to rri lmise my waste generation and select Ih@best waste management m@Ihed that h avoilObb to me and thou 1 can afford. All csetl oil ham Ili@ gerrerata 611@42 cleave <br /> w41 ee boneffew,d only to a tac99y cell by the Stale OI Coldornie to mail used oll lnlo nti led oil Me icenry that isrequked to conipN will,Federal moudelions p actcal tot” <br /> management o used p9.Ap re1e'vanl infamalion regatling known a suspectetl hatnrds osSOGatea wOh This waste Dos been tliscbwtl. Tho customer ogees to paY reasonable costs and ottl <br /> tee5incwr@dlnihecolbctbnollhls0 tion. Venue for moles of ihb atlan shaODoin Sobno counlIdeckne ander a of u talthe fo Is true and Car <br /> DISPOSAL/RECYCLING FAGILI7Y: Ileo/{on Station Intlaotdal I Aprlauitsue Govemmerst Madne Other IntlSOheJol Droll rung <br /> Q [wMmen 01,Inc. Q Geeai Ernborei lel aatagmill Inc. O yeas 15 f[RD r-1 Rams N(vkammer4a <br /> 1 ill Sri Ave..Newark,CA 94560 3 11!65 Whle Rock Rd..Rancho Codoya CA 95742 S 5154 Sl Jefferson,the eNF,At 35041 7 1515 S. ver Rd,W.Socramelo,CA 95691 <br /> 510-7954400 CAD nicia 4f3 916.355.0938 CAD 930B845B3 900.368.9095 AN 0OW7360 9164 $747 CAD044061SS6 <br /> Q Commertial Eller Regdinq Q Induahled 08 Q ANamollanM Be a1 RC <br /> 2 33110 Weslem Ave.,Union City,CA 94567 4 1]911averne Ave..darl folk.OR 960.7 6 Noe Alarlms Ld.lhem Ato' 8 9ul8o Rd.,Fallori Ill <br /> 510487-9127 541.894.9124 ORD1�75 915-d55-7308 CAD 732 467-108'1 NVR 000088651 <br /> Rill <br /> Prins name Ue crotcl Signal Si9nCrKK <br /> State Law Requil that Vat,keep EMs Reeelpt/&N of lading on file no16.80 <br /> s mn 3 years. <br /> To Re-Activate or to obtain an EPA N-Customer may contact DTSC a -800-618-6942 <br />