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•p'1 .. <br />1187 VANDERRIIT CI0. #2 FREMOUW ENVIRONMENTAL SERVICES, Ii C. SERVICE ORDER/ INVOICE: <br />MARTECA, CA 95337 CALININ11 CHLART SCBTICE <br />OFFICE: 209.239-5581' Tfsnsfartet Efaf CA0.000171017 <br />FAA: 209-239.6316 U.S.D.O.T. #1484667 D.T.S.C. #3544 CA# 274461 DATE: <br />SITE ADDRESS �811111401MAKINGAIDDRIS. r <br />Customer <br />'�e;iG1. FsT`i. :.`r .. '�L .[7y! :>i•.'::�.;,e:'L. ...,,..h 4G <br />MAY 2 6 2015 <br />;NVIRONMEWai <br />E.P.A. # <br />WCDt TI.I ncODRT�A�NT <br />e,..r, �t, .;� k! y;i:; ...{ PAYMENT TERMS: NET 15 <br />Additional Contacts: 1-=�ylrl:; �.. . <br />oennnr'T _ c.PDViCP INFORMATION /PROPER SHIPPING DESCRIPTION <br />7 14 21 30 45 60 9C 180 365 WIC <br />WASTE <br />CODE <br />MANIFEST NUMBER <br />QUANTITYUNITS <br />PRICE <br />AMOUNT <br />..,.. ,.,^k..'. is -a::ni•.g.�g�.... ... .r ..i:^^a:.rs%,. .e :In-. .wS!• <br />-..... <br />. N!'�r-f. .e. L.:+d.qp :Iy: �I'.•., e !?Vf! ... it;ll t{hv,rri <br />L.h 1: 1 <br />'d<" + t, perp„„Itlt r: ur!iVx r':A2reyitdr..ltY!I. <br />..'. <br />.a,,''r i•, 11'11 1rTn'arrn. RdtlFde,••.S.a.•: us,ry,Ti::C 1!'4:!; <br />..:I:11 <br />.;.14.titt _rJ' ,S)C-it .r .gC.TYr1'.r <br />.. .. ..... .1 ',.. :.•N..6.Yt. LF;irYC:f:Y.r Ip's:. <br />Empty Drums Provide Cd' Remove ❑ 1Al ,t A2 5g ❑ T0g ] 15g O 30g ZI 55g b(S P F <br />Clor-D-7ecl Q40DO Test Kit: Test 7 Pass ❑ Fab ❑ Generator Knowledge ZI PPM <br />Transportation Charges/Additional Truck Tlme/Addiflonal Labor/ LAB Packing/Site Cleaning <br />1# <br />Clean: ,r Y ; N Labels <br />Oii <br />ALF UOF <br />Oily Debris <br />SERVICES REQUESTED BY <br />TAX <br />AIWxBpt <br />P.O. # TOTAL CHARGES: <br />I tl <br />hefemecbretnal me WMemsm maaore v�”��=='�pv•.••••�,r•,•,•-x..--.-.•."'j`'__..__ <br />rinael contlHlon for rrarabon tri nlahwaYaaCotalrfaoapppcable stateond notbnaigovarwienl raguWliors 1.1 mealar eqLanlpygaremlo,ICerllry that l have <br />DISPOSAL/RICYOLING FACILTY: - Collection Station Industrial Agriculture Government Marine Other °"•oo �` ....r.ql ..�, <br />i •:r <br />.-I 1 <br />..r ..o .. <br />fa. � <br />print Name Generoloes Sgnature Ddvers Signature <br />��<e�thot I hwe�ad and have thaulhor�to bind the slaw listed venerator T the terms on the reveroe side of this form. <br />State Law Requires that you keep this Raceipt/Bill of Lading on File no leu than 3 years. <br />