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GREENLEAF ENVIRONMENTAL SERVICE BILL OF LADING # HT11346 <br /> P.O. BOX 1765 EPA NUMBER CAL000163781 <br /> LODI , CA. 95241-1765 <br /> (209) 754-4600 <br /> PICK—UP ATE <br /> unlwm�ewlelnl[YmYnyamlewelrnlwunullumNwueiWlY�. ' <br /> yl�bwCnYbmum HmU`ISWbwenYolln lcl llxwrJx�nblYlu m.es'eJ. �I,Y:¢nllulYeuwsmYnucwbula'Imwo neouo;urinw Y <br /> SHIP TO_ I D <br /> e�:'IJ IY:WWiy I�IYN mYVyMxxne n VUMY wpy YV:Ww�lYJY11bW m'YWVJIµ/yyyYl <br /> NAME <br /> CU ST NO, <br /> U KY CRANE INC_ GREENLEAF ENV. SERV 08-034 <br /> s w1YNWYNyYWi4111i IJNVYYAIX YYYYY M:IIWY1bN YYq.My►IM MYY.y11 YYy yY <br /> T ADDRESS <br /> 0 2373 MARIPOSA ROADTERMS <br /> YIYYIYYAIIeY,...In,mmlb.,,,„„IY�,.In.YY,muw,Y�„YY..,�.•, ,.II.I:tieY,N.,,,.1,. 3474 TOYON CIRCLE <br /> M IYWWWYMYMiYYY1WYIWWVIY WIIWWYYI W IV I' NYVWY eWIw.WwwJv; <br /> E CITY STATE ZIP VALLEY SPRINGS, CA PHONE (209) <br /> R STOCKTON CA 95205 95252 464-7635 <br /> I�.uu .mivYmY.x,Yx�nYY.w:YI.Yllurn.',IbYwlem,YYb+.mY..Y. . ® <br /> m <br /> CUSTOMERS POM <br /> zu�u�amo�uiwwtalua��arwdwa�www,u�pwlwur�i��uawu�rowwm��wwiuwlyu�uuairruupu�iy�ua �w�wa�nulu�mur'uulo �snlrAwrw�ua�,rwui �wuu�uy�aruuw � uWmuWwWd,w� <br /> PRODUCT PRICE AMOUNT <br /> IW iWW YwWW4Y'ViYiIY YIJ WYIf'JWY.4yl YYI J')iJWY�/Iw'v11JW1JYu.Wulw uyuyyyyYni�:YY�Iy WYpYYYYYiYY <br /> DRAINED USED OIL FILTERS 55 GL OR 65.00 <br /> YYIYYwm�.YmYwwwY.�..YY.Y.a�'Y,Im.,YY.Y°�.Y+Y+.>yYY.�'�.YY�I. �Y.IY.I,�oY�.r.Y ,Y.I°xY <br /> OIL ABSORBENT MATERIAL 55 GL DR <br /> WYromIewYYwwYWnuw:um WYYYII III ieIIYIYYlY1WYK:nIYwuYJwewsluna YuwJxwiYwey' m.YxerJuwuYYeun' rxl Nermwumw, trbwlYf..A mrmibM rJwl'e J4 <br /> FP-1 <br /> IYIIYYIIPWYYYWtlY'J_611yY®y,:u�.:�.r <br /> MYIi <br /> MISC EMPTY DRUM SCRAP METAL <br /> MISC EMPTY DRUM PLASTIC <br /> weY�n°YlmYrwuun�wuYYYauYYOYlgyyyouwmuuarYY,rpeYlvJuelale mYeinlWweb wramYl,xlnwwsuY '.uw,ImWrYmles <br /> YMWbAMIbMF NxW:r,r@N.YYullf a i.nin <br /> DROP COST DRUMS NEW ACCOUNT <br /> bwYl,mxYJ.m...xY I.YYw+4.....YIY. YlmYmnuYxurs ovulo:� .mYw.Ymbnwaww. <br /> CRUSHED UNCRUSHED EMPTY <br /> IawnmYomYnYn xa'oxrulxxu mnlme.ymo,mYxY <br /> �.�Y9�w®bY '1WY00dJ'JYYWIpYY <br /> YIgWY WIVpx'.00WWY!'_ 'yIIIWmI VIIW INYYYW'Y}JI[YmML WWIIJ.y 'I VIK]YNl'lep nlbb M.n ry1. y1"'u Nplxlmp�w YOYIpipW Y.L'vu Yl IVNT YV4naYW NiYb Yfpyl RY ni T1mY VIVNi <br /> TOTAL (G5 <br /> CHARGES <br /> I CERTIFY THAT THE INFORMATION AND THE AMOUNTS SHOWN ABOVE ARE TRUE AND <br /> CORRECT, AND THAT THE USED OIL FILTERS PROVIDED TO GREENLEAF ENVIRO SERV <br /> MEETS THE DEFINITION OF USED OIL FILTERS PURSUANT TO CALIFORNIA HEALTH <br /> AND SAFETY CODE SECTION 25250_1 , UNLESS OTHERWISE NOTED. THIS FURTHER <br /> SERVES AS NOTIFICATION THAT THE ABOVE WASTE IS BANNED FROM LAND DISPOSAL <br /> PERSUANT TO SECTION 66266.7 (10) OF TITLE 22. I ALSO ACKNOWLEDGE THAT I <br /> HAVE READ AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS FORM. <br /> ^l[RI's'IYY:M'MWIRYYW4N' 14% My41bY1!YV�p;.. <br /> p� � yul�l .mlYIwYIIIYIYInYI ' dYY4�VYgYYWYVptlYyyYlY@YYIRm16i4q xKW+�YRYwM11Y• <br /> DRIVERS SIGNATURE DATE GENERATOR'S SIGNATURE DATE <br /> L0 397d A3"IItlA 0IW SE600SL60Z Eb:60 600L/0I/60 <br />