Laserfiche WebLink
CLEARWATER <br />ENVIRONMENTAL MANAGEMENT INC. <br />REMIT TO; <br />PO <br />WE ACCEPT <br />r.VISA <br />�& IVIASTEINCARD <br />. - Box 2407 UNION Cl rY, CA 94587-2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 <br />(800) 4993676 FAX (510) 476-1786 (775) 577-9001 FAX (775) 577-9.199 <br />CAR 000 007 013 NVb 982 358 483 (800) 471,2105 <br />BILLING INFORMATION <br />NAME <br />ee <br />uv V�f� <br />/ STATE <br />JOB SITE <br />NAME <br />E <br />C F �5 <br />ADDRESS <br />I' '.-4"",I <br />ZIP CITY -P <br />PHONE NO. `� <br />PI -IC -IC <br />PIOI�UC7. PROPER <br />WASTE MA <br />SHIPPING DESCRIPTION <br />CODE <br />Used Oil, Non-RCFIA Hazardous <br />Alviso Indopondeot OII <br />Waste, Liquid <br />221 <br />Used Automotive Antifreeze, Non-RCRA <br />2430 Alrtwnd Or. <br />Hazardous Waste, Liquid <br />134 <br />Oily Water Non-RC1gA Hazardous <br />CA11 097 03C 993: 9006N <br />Waste, Liquid <br />7.7 3 <br />Non RCRA Hazardous Waste Solid <br />Oil Contaminated Debris / Soil <br />Waste Combustible Liquid nos 3 <br />UN1993, PG III <br />Non Hazardous Waste Liquid <br />Non Hazardous Waste Solid <br />Washout Charges <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />Pressure Washer <br />Other: r <br />-j <br />Bill of Lading <br />Invoice # 19 3 7 9 C <br />Date — Ir <br />PO II CASH <br />j ICUSTOMER EPA IU # <br />TE _ ZIP I PROFILE # <br />NO. w CUSTOMER ID # <br />EST NUMBER QUANTITY UNITS PRICE I AMOUNT <br />30 1& <br />I hereby certily that all information submitted in This and all 4tl40ed deouments 00niuln true and accurate beacriplions ol thaw ;1r <br />ae:eo64tnd with Thee w ala:; ha;; been diaclasVd. I Im have an act4Wich0d wo9rem to roduce ow voltlnle of wwiQ t the <br />DRIVER GENERATOR <br />SIGNA1'URF i_ SIGNATURE <br />1 <br />60 39dd ISAD <br />ID <br />NET '10 DAYS <br />information rugwdlno known or zuopecled hazards <br />96POZE660Z ZE:80 TTBZ/LZ/Ta <br />DISPOSAL/RECYCLING FACILITY:J.cmtadll0n Stnslon <br />rnduclrfal <br />Apriou+lure G6Ybr ont Merine WALL <br />Alviso Indopondeot OII <br />Claa.rwawt Environmental Mpmt, Inc, <br />6101nm+w Water Tech, <br />5002 Archer Street; Alvko, CA <br />2430 Alrtwnd Or. <br />5375 S. Eoylo Ave; Veman, CA <br />CAL 000 131 743; 95002 <br />Sliver Spllnys. NV 89429 <br />CA11 097 03C 993: 9006N <br />.(51W 476-1740 <br />NVO 382 358 483 <br />(800) 266-7747 <br />(7r.5) 577.9001 <br />r'a0lflo RocDvcry Resource <br />3150 Plco Blvd; Lon An©oles, <br />bGLlpoll EnvlWmmantrAl <br />© Con)"I' w Pillor Recy(;Wrwr) <br />CAD 008 252 405: 8U023 <br />V6 $vopon 81vd; Fledweod City. CA <br />CAH C00 140 W: 94083 <br />d4w90 Mitten, Avn; Unlo)l City, CA <br />i"0) 364-8154 <br />(510) 487.9227; 94587 <br />-I CorvWnno KordoonCmwL-y <br />$ Ovorlon <br />I� <br />2000 N. A14moda Blvd; Compton, CA�So 1690 W. 17111 Slruul: Long Beech CA <br />`^� �-- <br />CAT 060 013 352: 90222 <br />CAD 026 4DD 019; 9D183 <br />(3'10) 537.71 DO <br />I hereby certily that all information submitted in This and all 4tl40ed deouments 00niuln true and accurate beacriplions ol thaw ;1r <br />ae:eo64tnd with Thee w ala:; ha;; been diaclasVd. I Im have an act4Wich0d wo9rem to roduce ow voltlnle of wwiQ t the <br />DRIVER GENERATOR <br />SIGNA1'URF i_ SIGNATURE <br />1 <br />60 39dd ISAD <br />ID <br />NET '10 DAYS <br />information rugwdlno known or zuopecled hazards <br />96POZE660Z ZE:80 TTBZ/LZ/Ta <br />