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INVOICE <br /> 66184 <br /> f Manifest##�J b �L� -7( _ <br /> 1922 W. Belmont Ave.• Fresno, CA 93728-2626 <br /> (559),498-0240• Fax (559) 498-0256 EPA# O-A bg#O- q 3 <br /> EPA#CAL. 000188148 707 <br /> DATE PASS <br /> UNIFIED WESTERN GROCERS � HALIDES ❑ FAIL <br /> P.O.# <br /> INOLN' CR)A <br /> 1990 Piccoli Rd!P. O. BOX 60753"Terminal AnexOsp 4U STATE Z PPHONE#Stockton/LA CA95 95190060 209-939-2311 <br /> ! =HAZARDOUS WASTE <br /> 77�7 <br /> USED OIUMfXED OILS STATE CbDE 221 <br /> SED ANT FREEZE STA E CObLIQUID i 4�i,��+ � �� � 1 <br /> rk <br /> USED OIL FILTERS <br /> BARREL DISPOSAL <br /> ANTIFREEZE <br /> WASH RACK _ . <br /> OTHER ` I <br /> PLEASE PAY FROM THIS INVOICE TERMS. NET 30 DAYS <br /> 1.5%IN F(M WILL BE CHARGED AFrEft 30 DAYS.to the event of Judicial proceedings to enforce eoliootions,the purchaser will he liable for all expenses of ealledian. <br /> If I arrl a large quantity generator,t certify that I have a program in place to reduce ; r - _ s `' '��" ` s' <br /> r. �; 7`=7 7 . t <br /> the volume and toxicity of waste generated to the degree I have determined to be ❑ 5! R 1922 W.Belmont,Fresno CA 93728-2626(559)498-0240 <br /> economically practicable and that I have selected the practicable method of Parker-14287 E.Manning,Parlier,CA 93648 <br /> treatment,storage,or disposal currently available to me which minimize the present ❑ McKittrick-56533 Hwy.58W,McKittrick,CA 93251 (661)762-7366 <br /> and future threat to human health and the environment,-OR,if I am a small quantity [] t 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 <br /> select the best waste management method that is available to me and that t can ❑ Tamco-12459 Arrow Hwy,Rancho Cucamonga,CA(909)899 0660 <br /> afford. ❑ Alternate facility: <br /> *I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY *I FURTHER AGREE TO ACCEPTTHE ADDITIONAL CHARGES FOR LEGAL I <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM,; DISPOSAL 1F THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES.OR <br /> ANDTHATTHE WAST DOES NOTCONTAIN ANY PC.B'S.. CONTAINS ANY P"C.B'S. <br /> Thi cer fy 66ave no a ' es are properly classified,described,packaged,marked and labeled,and are in proper condition for transportation,according to the applicable <br /> ulafio partment r portation. a <br /> r- <br /> DRIVETSIGNMRE GENERATOR'S STGNATLIRE PRINT NA <br /> THIS DOCUMENT MUST BE KEPT FOR AT LEAST 3 YEARS <br />