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WL 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 />BILLINA INFORMATION <br />0 <br />WE ACCEPT VISA & MASTERCARD <br />MasterCarn ®'. <br />P.O. Box 349 SILVER SPRINGS, NV 89429-0349 <br />(775) 577-9001 FAX (775) 577-9199 <br />NVD 982 358 483 (800) 471-2105 <br />JOB SITE <br />Bill of Lading <br />Invoice # 1 0 5 2 <br />i <br />Date ; " <br />NAM <br />NAME <br />PO# CASH CHECK <br />4! <br />A RES <br />ADDRESS <br />CUSTOMER EPA ID # <br />_ �,J <br />Al-iJ 57` <br />Gd <br />CITY - STATE ZIP <br />CITY STATE ZIP <br />PROFILE # <br />PHONE^ O. <br />PHONE NO, <br />CUSTOMER ID # <br />Z- <br />( ) <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 />'Z OLS 7s' <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 />Non Hazardous Waste Solid <br />Transportation Charges <br />Washout Charges <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />Pressure Washer <br />Other: <br />DISPOSAL/RECYCLING FACILITY- Collection Station Industrial Agriculture Government Marine TOTAL <br />/ <br />„, <br />New Independent Oil O Clearwater Environmental vigmt. Inc. O DM Environmental ' `/ <br />5002 Archer Street; Alviso, CA 2430 Almond Dr. 3650 E. 26th Street; Vernon, CA <br />CAL000161743; 95002 Silver Springs. NV 89429 CAT080033681; 90023 NET IO DAYS <br />(510) 476-1740 NVO 982 358 483 (323) 268-5056 <br />(n5) 5n-8001 <br />Onyx Environmental Services O Seaport Environmental O Commercial Filter Recycling <br />1125 Hensley Street; Richmond, CA 675 Seaport Blvd; Redwood City, CA 33210 Western Ave; union City, CA <br />CAT080022148; 84801 CAR 000 140 624; 94063 (510)487-9227; 94587 <br />(510) 233-8001 (650) 364.8154 <br />Oelvenno Kamoon Q Evergreen Oil <br />2000 N. Alamode Blvd; Compton, CA 6880 Smith Ave; Newad,, CA <br />CAT 080 013 352; 90222 CAD 980 887 418; 94560 <br />(310) 537-7100 (510) 7954400 <br />hereby candy that all mfamielion sWmHletl in this and all attached documents contain We and accurate descdp8ons Of the1.1, ant Infomation regarding known ar wspected hauNs <br />associated with the wastes has been disclosed. 1 candy that we an established program to reduce the volume of wast tt be economically practicable. <br />DRIVER GENERATOI <br />