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0 <br />dtCLEARWATER <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 />G INFORMATION <br />0 <br />WE ACCEPT VISA & MASTERCARD <br />MasterCa.<r <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 />B SITE <br />Bill of Lading <br />Invoice #112546 <br />Date 01 r <br />BILLIN <br />XqE <br />PO# CASH CHECK <br />NAME <br />t^ <br />—53 <br />'ai7 <br />ADDRESS <br />ADDRESS <br />CUSTOMER EPA ID # <br />L W <br />PROFILE # <br />C1T1` STATE ZIP <br />CIT STATE ZIP <br />PHONE NO. <br />( ) <br />PHONE NO. t <br />) '�nf -4 <br />CUSTOMER ID # <br />PRODUCT PROPER <br />WASTE <br />ffANWESTINGMBER <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 />f <br />Oil Contaminated Debris / Soil <br />Z <br />G <br />Waste Combustible Liquid nos 3 <br />UN -1993, 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 />DISPOSAURECYCLING FACILITY: CalealonSletbn Industrial Agrkutlure Government Marine TOTAL <br />4 <br />O Clearwater Environmenal mt. Inc. OM Environmental <br />Alvino Independent Od f`s9 <br />3650 E. 26U Street; Vernon. CA <br />5002 Amher Street; ANiso, CA 2430 Almond Dc <br />CAI000161743; 95002 89429 CATOB003336fi1; 90023 NET 10 DAYS <br />(510) 4]&1'!40 N'VD 982 359 483 <br />(]/5) Sn-9001 <br />J <br />Onyx Environmental Services O SeapW Emlmnmental Commercial Filter Recycling <br />1125 Hensley Street; Rlalmmd, CA 675 Ses pon Blvd; Redwocd City, CA 33210 western Ave; Union City. CA <br />CAT 080 022 148; 94801 CAR 000 140 624; 94063 (510) 487-9227; 94587 <br />(510)233-8001 (650) 364411 <br />DeMenno Kmdoon O Evergreen Oil Ir <br />2000 N. Alameda Blvd; Compton, CA 6880 Smith Ave; Newark, CA <br />CAT 080 013 352; 90222 CAD 980 887 418; MIX) <br />(310) 537-7100 (510)795-4400 <br />I hereby certify t 1 Marl ian submitted in this and all annsched documents conlaln Ime and accurate descriptions a me wase. nn misvem mrormuumi ,aga,vi,w •,yawn ..r suspe •.•.. <br />associated with les has been disclosed- I cerlj(y that we have an established program to reduce the volume of waste t degree to be economkally p ct ble. <br />� � GENERAT R I in I /� J <br />