Laserfiche WebLink
�� s� ~ �• Manifest# f- <br /> � ' "i t6 <br /> 1922 W.Belmont Ave. <br /> • Fresno, CA 9372$-2625 � <br /> 559) 498-0240 • Fax (559) 498-0258 flr �PA# <br /> ?07 PASS <br /> CAL OOOi 88148 <br /> DATE - HALIDES 0 FAIL <br /> EPA# <br /> NAME <br /> UNI FIE©WESTERN G,ROCERa P.o.# c-� � L' -3 JC <br /> ADDRESS 1990 Piccoli Rei f P. O. BOX 6075; Terminal Ane% <br /> PHONE# 209-931-2311STATE CA gX2-15JSf,060 <br /> CITY Stocktonl LA • <br /> NON-RCRA HAZARDOUS WASTE ] <br /> USED OIIJMIXED OILS STATE CbDE 221 <br /> USED ANTI FREEZE)US STATE CODE 1LIQUID lA n <br /> USED OIL FILTERS <br /> BARREL DISPOSAL <br /> ANTIFREEZE <br /> WASH RACK <br /> OTHER <br /> TERMS: NET 30 DAYS <br /> Y FfiOM 7H1S INVOICE the urchsser will he 1lahie for all expenses at cetles6on. <br /> PLEASE PA <br /> 1.5%rHTEREST%ILL SE CHARGER AFTER 30 HAYS.In the e"Rt of Jedtsldl prOOeedln�S 1 <br /> 0 Entprse Co116StiDRS, p - .' 1 -:- <br /> - • r .� 498-0240 <br /> If l am a large quantity generator,l certify <br /> that 1 have a program in place to reduce FR 1922 W.Belmont,Fresno CA 93728-2626(559) <br /> the volume and toxicity of waste generated to the degree{have determined to be 58W McKittrick,CA 93251 (661)762 7366 <br /> economically practicable and that I have selected the practicable method of Par ler- k 25 533 HWY.r58 Parker,CA 93848 <br /> treatment,storage,ar disposal currently available to me which minimize the presenttity O'K Environmental-3850 E.26th St.,Vernon,GA 90023(38992 66005 <br /> and future threat to human health and the environment;OR,waste generation gion and Tamco-12459 Arrow Hwy,RanclTo Cucamonga,CA(909) <br /> generator,i have made a good faith effort to minimize my <br /> [] Alternate facility: <br /> select the best waste management method that is available to me and that Can *I Ft1RTHER AGREE TO AGCEPTTHE ADDITIONAL CHARGES FOR LEC <br /> afford- DISPOSAL IF THIS WASTE IS OVER 1 DIT RP.M.TOTAL HALIDES, <br /> *I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY CONTAINS ANY P.C.B'S. <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1006 PPM-; d and are in roper condition Fortran sportation,according to <br /> AND THAT,THE WA E DO SNOT CONTAIN ANY P.C.B'S., ocka ed,marked and la el,� p <br /> � '� O <br /> This is to cerci aTh ve n ��articles are properly classified,described,p 9 <br /> reg ' ns rti a Ciep linen Tr nsportotion. -- —INT NAME <br /> �l. GENERATOR'S SIGN UREAST3-YEARS -- --. <br /> DRIVER SIGNATURE THIS DOCUMENT MUST BE KEPT FOR AT LE — —w — — <br />