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FREMOUW E. .VIRONMENTAL SLAVICES, INC. <br /> Send Payment to: Phone: 800-559-3274 EPA LD#CAR000171017 <br /> P.O.Box 2875 Phone: 707-448-3700 U.S.D.O.T.#1484667 INVOICE # 12800 <br /> Vacaville,Ca 95696-2875 Fax: 707-448-3499 D.T.S.C.#3544 Cr <br /> www.hazwasteremoval.com CA#274461 Date 1 f2J 'TJ6 <br /> SITE ADDRESS BILLING/MAILING AD ES <br /> Customer D & H Auto Tech Customer H Auto Tech <br /> 720 E. Hammer Ln. 720 E. Hammer Ln. <br /> Stockton, CA 95210 Stockton, CA. 95210 <br /> E.P.A. # CAL 000 318 708 Phone Fax <br /> Phone Numbers: Office 209 951-1100 Cell <br /> Contact: Brannon / Denny <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 7 e 14 R 21 a 30 R 45 • 60 a 40 R 180 • 365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> Non-RCRA Hazardous Waste Liquid(Used Oil) CA 22100 - 9`foR i' <br /> Non-RCRA Hazardous Waste Liquid(Used Anti-Freeze) CA 134 <br /> Non-RCRA Hazardous Waste Liquid(Oily Water) CA 223 <br /> Drained Used Oil/Gasoline f Diesel Filters N/A <br /> Non•RCRA Hazardous Waste Solid(Oil Contaminated Debris,Sod) CA 223 <br /> Parts Washer Service CA 223 <br /> Notill Hazardous Waste Liquid(Brake Fluid) CA 343 <br /> Waste Flammable Liquid,N.O.S. 3 UN1993 PGII Gasoline-Diesel <br /> Empty Drums Provide O Remove 0 5g U 1O U 15g U 30g U 55g U S P F <br /> Clor-D-Tect Q4000 Test Kit: Test U Pass U Fail U Generator Knowledge d PPM <br /> Transportation Charges/Additional Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> Clean: Labels Oil A/F _ UOF-,4,'yCV4r,, Oily Debris <br /> SERVICES REQUESTED BY TAX 8 <br /> A We t til MIS ® P. O.# TOTAL CHARGES: <br /> GENERATOR'S CERTIFICATION: I hereby declare that the entr nt,of this carsignmenf are fully and accurate drecnhed above by proper shipping name and are classified,packed.oohedane <br /> labeled a:,a are in all respects rn prober condition for trensai by highwcy occo aing b coal cable slate and rimar l grryemment regubtions. It I an in arge gaa.It,generator,I cerlily that I <br /> have a program In place to reduce the volume ,no toxicity o`wo0A generafed ro the degree I nave determined to be econcmeally practicable are that I have selected the practicable method <br /> of tremmenf.sbraae. ,also osal c.rrennv pleloble q me vFidh mion izea the present no future m-ea•to human health one the environment OR.if 1 am o small quantity generator,I have made <br /> a gaud Faith effort to min�mlze rcy waste genera!ion ar'a select-he best masts management hurl trot is available to me and that I can afford. All urea oil from the generator listed above <br /> wet be Imn-pi only to a li pemtil led by tae Slate al Ca"omio to oroeuce used oil into recycled oil OR a facility that is required o comp:y with Federal regulations applicable to the <br /> r'nonagement d used oil. Ail rzlevarl lir c'uralion regarding knowr or s,lori no hazards asroclared r,if Ibis waste nes been or salased. Tie customer agrees to pay reasonable costs and attorney <br /> fees ac,:vea ,f ile collectors o this Doli o-len. varve for ur ores of tris obi otlon shall ail In Solono county. I tleclore antler penal, of era that rhe for bin is r antl correct. <br /> DISPOSAL/RECYCLING FACILITY: CDIIBa1(On Station <br /> Industrial Agriculture Govemmant Marine Other ^duaftlal °cplating <br /> Daus I JEverween011,in; [ ]GEMRarcho Cordow LLC [ ]Bg Sky En4ronmeNal [ 12lsICerlurVEMI <br /> Road30B 68W Si Ave 116550hde Rri 401 W Channel Road 2095 NewNMS Dr,Ease <br /> 1 Darya,CA 95tS16 2 NewaY CA :iaEtYi ' Rarcla Cordova,UA 95742 d aerlxte,CA 99570 5 Ferri tN 8W610-7954400 CADF82446874 510-75.544D) CAG 418 1635} CAD 930934183 610-61CAL0130163s1 775575-2731 NvV9XR 33F1 <br /> Print Noma narators Signatu Drivers Signature <br /> State Law Requires that you keep this Receipt/Bill or Lading on file no less than 3 years. <br /> To Re-Acfivate or-o obtain on EPA a-Customer may confoc*DTSC'a 1-800-618-6942 <br />