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INVOICE <br /> Manliest# <br /> 1922 W. Belmont Ave.• Fresno, CA 93728-2626 <br /> (559) 498-0240• Fax (559) 498-0256 EPA# ' <br /> EPA#CAL 000188148 '�'' PASS <br /> DATE HALIDES <br /> NAME FAIL <br /> UNIFlEG WESTERN t'-.-.RN ROGERS <br /> P.O. <br /> ADDRESS } i <br /> 1990. Piccoli Rd f P C. BOX 6C'55 Terminal Anex <br /> STATE PHONE# Zig-9 <br /> CITY Steckt�rll LA Cr? 9 15I90C160 <br /> • J PRICE 1 • <br /> QUANTITY <br /> NON-RCRA HAZARDOUS WASTE <br /> 6A3-5-7, <br /> USED OILlMIXED OILS STATE CbDE 221 . , <br /> NtJ�ED ANTI FARE ZEO STATE CODE 133 <br /> USED OIL FILTERS <br /> u Y�' A Art nit �5 a <br /> BARREL DISPOSAL <br /> ANTIFREEZE <br /> WASH RACK <br /> OTHER of <br /> PLEASE PAY FROM THIS INVOICE TERMS: N T 30 DAYS <br /> 1,5%1N7ERES7 WILL BE CHARGEDAMFt 10 DAYs.in the event et Judiciai proceedings to enforce collections,the purchaser will be liable for all expenses at calledlon. <br /> If I am a large quantity generator,t certify that I have a program in place fo reduce ISJFR 1922 W Belmont,Fresno CA 93728-2626(559)498-0240 <br /> the volume and toxicity of waste generated to the degree I have determined to be <br /> economically practicable and that I have selected the practicable method of /6 Parlier-14287 E.Manning,Parlier,CA 93648 <br /> treatment,storage,or disposal currently available to me which minimize the present [I McKittrick-56533 Hwy.58W,McKittrick,CA 93251 (661)762-7366 <br /> and future threat to human health and the environment-,OR,it I am a small quantity D/K Environmental-3650 E.26th St.,Vernon,CA 90023(323)268-5056 <br /> generator,I have made a good faith effort to minimize my waste generation and Tamco-12459 Arrow Hwy,Rancho Cucamonga,CA(909)699-0660 <br /> select the best waste management method that is available to me and that I can El Alternate facility: <br /> afford. <br /> I FURTHER AGREE TD ACCEPT THE ADDITIONAL CHARGES FOR LEGA <br /> *I HEREBY CERTIFY THAT I 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.P.M.: CONTAINS ANY PC-B'S- <br /> AND <br /> THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. <br /> T�I's is t' certify that above named articles are properly classified,described,packaged,marked andlabel�d7fand are in proper condition for transportation,according to the appli� <br /> abgulans f th`e partmdnt of Transportation. / e �. <br /> �..✓ 1 PRINT NAME <br /> D ER SIGNAT RE GENERATOR'S SIGN RE <br /> THIS DOCUMENT MUST BE KEPT FOR AT LEAST 3 YEARSV_ _._- <br />