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��L � ` INVOICE <br /> 68524 <br /> Manifest <br /> 1922 W.Belmont Ave.• Fresno, CA 93728-2626 -s <br /> (559) 498-0240• Fax (559) 498-0256 EPA# <br /> PASS <br /> EPA#CAl� 000188148 DATE HALIDES <br /> NAME <br /> ❑ FAIL <br /> ,iNii IlMp WESTERN GROCERS Po <br /> ADDRESS <br /> ' 1990 Picecli Rd , P. O. BOX 00753 Temiinal Amex PHONE# <br /> STATE ZIP �0 931-z3 1 <br /> CITY Stocktorif LA CA 95215190060 <br /> FUR <br /> NON-RCRA HAZARDOUS WASTE r C <br /> USED OILIMIXED OILS STATE CbDELIQUID I <br /> NON-RCRA HAZARDOUS WASTE, <br /> USED ANTI-FREEZE STATE CODE 133 <br /> USED OIL FILTERS <br /> BARREL DISPOSAL <br /> ANTIFREEZE <br /> WASH RACK <br /> OTHER �- e%L> <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 30 DAYS r <br /> 15%rHTEREST WILL BE CHARGED AFrER 30 DAYS.IR the event or Judicial proceedings to enforce tnllechORs,the purchaser will be liable for all expenses of tollection. <br /> If I am a large quantity generator,I certify that I have a program in place to reduce <br /> the volume and toxicity of waste generated to the degree I have determined to be <br /> SJFR-1922 W.Belmont,Fresno CA 93728-2626(559)498-0240 <br /> 287 E. <br /> A 93648 <br /> economically practicable and that I have selected the practicable meP od of IJ arlittrick4 56533 Hwy.Manning <br /> McKi rick,CA 93251 (661)762-7366 <br /> treatment,storage,or disposal currently available to me which minimize the resent McK <br /> Q D'K environmental-3650 E.26th St.,Vernon,CA 90023(323)M-5056and future threat to human health and the environment;OR,if I am a small quantity <br /> generator, I have made a good faith effort to minimize my waste generation and ❑ Tamco-12459 Arrow Hwy,Rancho Cucamonga,CA(909)899-0660 <br /> select the best waste management method that is available to me and that I can ❑ Alternate facility: <br /> afford. *I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> *I HEREBY CERTIFY THAT 1 HAVE NOT MIXED THIS WASTE WITH ANY DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P RM.; CONTAINS ANY RC-B'S- <br /> THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. <br /> ihi�is fo ce�tifyt the above nar� articles ore properly classified,described,packaged,marked and labeled,and are in proper condition for iransr-portion,according to the applica <br /> r�gulaii 6 the Department�anVortation. <br /> ✓ J `` ."t_ NTN E <br /> DRIVER IG TURF RATOR'S SIGNATURE <br /> �� _ THIS DOCUMENT MUST BE KEPT FOR AT LEAST 3 YEARS <br />