Laserfiche WebLink
�- ~k-t" C <br /> 9 ff Alk T m am SUPPL? <br /> Im W @ Li r--) <br /> xH0 [A Cot <br /> INVOICE DATE/. .7 <br /> t r INVOICE NUMBER 55921 <br /> #1 IN AQUEOUS CLEANERS CUSTOMER NUMBER <br /> 10328 EAST SIERRA AVENUE 305r'4 <br /> CLOVIS,CALIFORNIA 93619-9311 <br /> (569)297-0102 OR(559)292-4966 Tri?a1ment Facility: T'I <br /> EPA#CAD981690126•STATE ID#1849 170A$Al 1,A TIM(IAAA 11'7 <br /> srn�i na a •�-...r.:..., n a tr_,..,irn:,._. <br /> _ J.f i:t 4Jt3,�k4.,a LtilY[a,�L4. CrL's.L'.w°13Ad[S l�1LV, l.c..'!_i:"1 <br /> t:Inrst3br Tzark C"epter-I�Zts <br /> SOLD TO: ,'25 NNY brive SHIP YO: <br /> _,torktm C#95 20 6 <br /> CAD9811571979 <br /> 209444-5K I <br /> TERMS P.O.NUMBER SALESPERSON/DRIVER <br /> PLEASE PAY BY INVOICE Net 30 Days <br /> EM NUMBER <br /> DESCfiIPTION UANTITY PRICE TAX EXTENSION <br /> tENTALS: <br /> ,IDSE: <br /> iERVICE: <br /> VASTE REMOVAL: <br /> r <br /> AANIFEST# /�� f WASTE# [)_TY r "Mf.. �? <br /> MANIFEST# WASTE# QTY <br /> AANIFEST# WASTE# QTY <br /> 1. RQ,Waste Corrosive Liquid,N.O.S.,8,UN 1760,PgIII <br /> 2. RQ,Hazardous Waste,Liquid,N.Q.S.,Class 9,NA3082,PgIII <br /> 3. Aqueous Solvent Waste-Class H Liquid Non-Hazardous <br /> 4. RQ,Hazardous Waste,Solid,N.O.S.,Class 9 NA3077,Pg III <br /> 5. Oil/Water Sludge-Class I(Haz.Waste N.O.S.9,Na3077,III <br /> 6. Hazardous Waste,N.O.S.,Waste Paint Related Material,UN 1263,3,PgH <br /> 7, Waste Corrosive Liquid,Basic,Organic,N.O.S.8,U.N.3267,Pg III <br /> 8. Non RCRA Hazardous Waste Solid(Oily Solids) <br /> ;ertificate of Compliance No. 1849 <br /> certify that the amount shown above to be correct.HTS Co.certifies that the above waste will be <br /> ansported to an authorized waste treatment facility in accordance with applicable laws. <br /> Drivers Signature' <br /> Customer Printed Naive f r <br /> TOTAL <br /> Signature of Customer <br />