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IT <br />{ <br /> CLEARWATER <br /> 'ENVIRONMENTAL MANAGEMENT, INC. <br /> r,5 P.O. Box 2407 UNION CITY CA 94587-2407 �, Bill of Lading <br /> r <br /> 800-499-3676 FAX 510-476-1786 " Invoice# <br /> CAR000007013 . WE ACCEPT VISA&MASTERCARD <br /> _ . Date s <br /> t BILLING INFORMATION JOB SITE ": :'4 <br /> NAME 9 NAME ; PO# CASH CHECK <br /> ADDRESS ADDRESS } ti CUSTOMER EPA ID# <br /> +µ— CITY w STATE ZIP CITY STATE �~ ZIP PROFILE# <br /> PHONE NO. PHONE NO. i CUSTOMER. NO. <br /> ~�f <br /> PRODUCT' PROPER WASTE MANIFEST NUMBER, QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE e <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 GAL. <br /> Used Automotive Antifreeze, Non-RCRA <br /> Hazardous Waste, Li uid 134 GAL. <br /> Oily Water Non RCRA.Hazardous <br /> Waste Liquid GAL. <br /> k Non RCRA Hazardous Waste Solid <br /> Oil Contaminated Debris GAL. <br /> Waste Flammable Liquid, n.o.s. <br /> i UN1993, PG III GAL- <br /> ; Non Hazardous Waste Liquid GAL. <br /> Non Hazardous Waste Solid , . GAL <br /> Transportation Cha es :+ Hours <br /> Washout Charges ! i Each <br /> Drained Used Oil Filters Each <br /> Empty Drums w 4<- i Each <br /> Additional Labor <br /> Pressure Washer <br /> t Other: <br /> } <br /> DISPOSAL/RECYCLING FACILITY: c Murine TOTAL <br /> 3ANso <br /> k>depa www all ®MM*idt waste Treatment Site ®SaWent Services,db.Laidlaw <br /> 5002 Anther Street;'ANise,CA 56533 H"58 weer: Md41111ids.CA 11Mi Bar 7asa Roact'San Joss,CA <br /> CALOWIS1743 CAD98063MI CA00594"310 NET 10 DAYS <br /> (510) 797-8511 (805)762-7366 (408) 451-5000. <br /> lj <br /> Ik ®Seaport Emao"ental ®Cammeraiet Fifer Reeyd M <br /> i 1125 Hensley Street: Rkftna ck CA 675 Seaport BMch Retlwmd City,CA 33210 wes'tem Ave: Um.Cfy,CA <br /> CA'08=148 CAD000032M (510)4875277 <br /> (510) 23301 (415) 384.8154 <br /> 'i <br /> DeMermo Kadoon ®Eveirween all <br /> 2000 N.Alameda BW Compuxi,CA f SmanAve; Newmlt.CA <br /> CATOM13M CAID980887418 <br /> (310) 571-3700 (510) 795.4400 q' <br /> I hereby car*that all infarmatim submitted in this and all attached documatls contain Ince and ace wale desaiptlons of the waste. All mw aril infonnatWi ragerdrtg imewn orsuspectw ltezmds <br /> associated with the wastes has been disclosed. Clearer transports all wastes to facilities titer me pmpedy penrifted and licensed to accept these wastes. <br /> t DRP4ER GENERATOR <br /> SIGNATURE W - °' :e:r.. SIGNATURE <br /> a .. <br />