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INVOICE <br /> Manifest# <br /> 1922 W. Belmont Ave. • Fresno, CA 93728-2626 <br /> (559) 498-0240 • Fax (559) 498-0256 EPA# <br /> EPA#CAL. 000188148 70'; <br /> DATE ❑ PASS <br /> NAME HALIDES <br /> L-ftFiED VVES ERN GROCERS �� ��"��� [] FAIL <br /> ADDRESS P.O.# <br /> - 1990 Piccoii Rd ! P. Q. BOX 60753 'Terminal Anex (�US-137010 <br /> CITY STATE ZIP PHONE# <br /> Stockton/LA CA 9524 5/900610 209-931-; 311 <br /> NON-RCRA HAZARDOUS WASTE <br /> USED OILIMIXED OILS STATE CGDE 221 <br /> NON-RCRA HAZARDOUS WASTE LIQUID <br /> USED ANTI-FREEZE STATE cobE 133 <br /> USED OIL FILTERS <br /> BARREL DISPOSAL <br /> ANTIFREEZE <br /> WASH RACK <br /> OTHER <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 34 DAYS <br /> r.$%INTEREST Wfl-c BE CHARGED AFTER 30 DAYS.In the event of Judicial proceedings to enforce soltectians,the purchaser will he liable for all expenses of collection. <br /> If I am a large quantity generator,I certify that I have a program in place to reduce SHIP,-T0 <br /> the volume and toxicity of waste Fe-erafe to_ e, I l ted to be ❑ SJFR-1922 W.Belmont,Fresno CA 93728-2626(559)498-0240 <br /> I havo`seie�ttycl tt5e.practicable,r,Method of ❑ Parlier-14287 E.Manning,Parlier,GA 936x8 <br /> economically practicable and that <br /> treatment,storage,or disposal currently available to me which mini tie tie present [] McKittrick-56533 Hwy.58W,McKittrick,CA 93251 (661)762.7366 <br /> and future threat to human health and tie e��i� n"OR,if 1 m 6 small quantity [] D/K Environmental-3650 E.261h St.,Vernon,CA 90023(323)268-5056 <br /> generator,I have made a good faith effort kOh'�iin"I7i'i�1r'}��te(generation and <br /> select the best waste management method that is available to me and that I can Tamco-12459 Arrow Hwy,Rancho Cucamonga,CA(909)899-0660 <br /> afford. —gym_. El Alternate facility: <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY *I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE�LES�THAN"1owp..P.M:""� DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CONTAINS ANY P.C.B'S. 17 <br /> This is to ce ify that taboo named articles are properly classified,described,packaged,marked and labeled,and are in proper condition for transportation,according to theppplicable <br /> regal io s r he D lClj rl T o Transportation. 1. <br /> s y' <br /> l]RIV SIGNATURE RATOR'S SIGNATURE 1,VPRINT NAME <br /> THIS DOCUMENT MUST BE KEPT FOR AT LEAST 3 YEARS <br />