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FREMOM EN VIRONMENTAL SLAVICES, INC. <br /> Send Payment to: Phone: 800-559-3274 EPA ID#CAR000171017 <br /> P.O.Box 2875 Phone: 707448-3700 U.S.D.O.T.#1484667 INVOICE # <br /> Vacaville,Ca 95696-2875 Fax: 707-448-3499 D.T.S.C.#3544 <br /> www.hazwosteremovaLcom CA#274461 Date 6'NJ-a I <br /> SITE ADDRESS BILLING/MAILING ADDRESS <br /> Customer d&HH Auto Tech Customer D & H Auto Tech <br /> 720 E. Hammer Ln, 720 E. Hammer Ln. <br /> Stockton, CA 95210 Stockton, CA. 95210 <br /> E.P.A. # CAI non 319 708 _. Phone <br /> Additional Contacts: 209 951-1100 <br /> Rrannnn / IlannT <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 7 • 14 • 21 • 30 • 45 • 90 4 180 • 365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> Non-RCRA Hazardous Waste Liquid Used Oil i' CA 221 - 3`tfgeI„a/` 3=' 641- N L , <br /> Non- CA 134 1 >8 C <br /> Non-RCRA Hazardous Waste Liquid(Oily Water CA 223 <br /> Drained Used Oil/Gasoline t Diesel Filters N/A <br /> CA 223 <br /> Parts Washer Service <br /> Non-RCRA Hazardous Waste Liquid Brake Fluid <br /> Waste <br /> L <br /> Empty Drums Provide 0 Remove 0 IAl IA2 5g❑ IOg❑ 15g13 30g❑ 55g ❑ S P F <br /> Clor-D-Tett Q4000 Test Kit: Test❑ Pass❑ Fail ❑ Generator Knowledge ❑ PPM <br /> Transportation Charges/Additional Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> Clean: X> N Labels / Oil �r,,t-j A/F C- L UOF '7/c tr:n Oily Debris r, <br /> SERVICES REQUESTED BY TAX 1 9.00 <br /> We v� C �� P. O.# TOTAL CHARGES: ts� ,-trial,, <br /> Acca t <br /> GENERATOR'S CERTIFICATION: a.clave that the contents of this consignment are fully and accurately described above by proper shipoing name and are clossified,packed,marked,and <br /> labeled,a'. 1 ,: 1 _ -,ndi al,br ttari ov hlghwcv accoroing c o.plicoCle state and national oovernment-egulotions. If I am a large quanrty generates.1 certify that I <br /> hove a pr,j,m- i po[=is:eab_e:he volume and IImily at wade 11,1, led 11'he degree I have determined Io be ecoramicclly prat riCcble artl that I have selected the procticOble-0ho0 <br /> •t'reatment s or1ge.m disacsa c_rreml,available to mal whim minimiiad the pew,and f,-,,a had,to Human heath and the environment:OR.if 1 am a smoll,.or1R,genercmr,I have made <br /> a good loth ellen to mihmize r'v wacre genemtIen and select the eerst waste monagemer:method that is available to me and that car,chord. All used oil from the generator listed above <br /> wil be'rmrspored cely 1.c faarty permitted by the Rule of C.I forri to produce used oil Into tecyclea of OR a Facility mot is lectured tp comply with Federal regulations applicable to the <br /> mnamemeni of used o, All relevorl ntormatior regarang kno er suspenetl homrds m acood with this waste has been asclosed. The customer agrees to pay reasonable costs and cilorney <br /> ish i inc_rrec In the codec al'r),Obligation. venue for o rises a,rhes dloi orlon shall be In Solpnp cont tlCClore uncer penalty OI pertury that the tar oin is hue antl colt. <br /> DISPOSAL/RECYCLING FACILITY: ollectlon Station InduSMal Agriculture Government rine Other lnduslMal Lubricating <br /> E raer1 II InBig <br /> [ ] yerTt Qfiva I I cAr]I ell JII IR I J EhA Pa hu.nrJe b L t S y C Illi i 'n Nn tNN <br /> 4arblh bt)It; %A %Smith Ave / 11&16 y1i Rack GA 401 11,b11 H-- Nri Or cbl <br /> Davis - X IC VW2n 5i E4 4i./ f SN' -y `wV <br /> sky-1 e nr�:rA r --FP f r Y'roix. <br /> i <br /> Print Name ✓IJ Generators Sigpb ur�T— Driver's Signature <br /> Slate Law Requires that you keep Oils Receii of Lading on the no less than 3 years. <br /> To Re Activate or to obtain an FAA#-GStomer may'GntcC OTSC 8 1-800-618-6942 <br />