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FREMOUW ENVIRONMENTAL SERVICES, INC. <br />Send Payment to: Phone: 800-559-3274 EPA ID # CAR000171017 <br />P n. Box 2875 Phone: 707-448-3700 U.S.D.O.T. # 1484667 INVOICE # 345%-.,8 <br />ville, Ca 95696-2875 Fax: 707-448-3499 D.T.S.C. # 3544 <br />www.hazwasteremoval.com CA # 274461 Date <br />SITE ADDRESS�- BILLING/MAILING ADDRESS <br />Customer Rambus Engine & Transmission Customer bambus Engine & Transmission <br />1031 E. Church Street 1 031 E. Churg Street <br />E.P.A. # <br />Stockton, CA 95205 <br />CAL 000 333 868 <br />Phone <br />Stockton, CA 95205 <br />Additional Contacts: 209-463-9046 209 9414497 <br />Semeal Whhrag <br />PRODUCT - SERVICE INFORMATION/PROPER SHIPPING DESCRIPTION <br />7 • 14 • 21 • 30 • 45 • 60 • 90 • 180 • 365 WAC <br />WASTE <br />CODE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />Nor-RCRA Hazardous Waste Liquid (Used Oil) <br />(-'A 221 <br />:i4561 Rood am <br />4" 1 t m6 w (; r 116 Moos <br />t02 i any .x Rw; i <br />4)1 W. C4wlnel Road <br />Non-RCRA Hazardous Wase Liquid (Used Anti-Freezel <br />CA 134 <br />1304, WWW <br />3 swabtl, Cr. JG'M <br />Vaiom <br />5 SMr a' Alio, ^A 89a <br />.- I -- I— — <br />Non-RCRA Hazardous Waste Liquid (Oly Water) <br />:A 223 <br />F111Fa1 WO PAIMY"' <br />17F1V7Wtt FI':1 - <br />c <br />Drained Used Cil i Gasoline f DeW, Filters <br />Ivor-RCRA Hvmdo a waste SoNd (Oil Cor ta,atea Det m. Salt <br />CA 223 <br />.ars Wasner WVice <br />CA 223 <br />azar LIS Waste UqUia ("e HUW <br />CA 343 <br />UW993, Waste FlaTimable LigW, N.O.S., 3, PGII (Gasoline -Diesel) <br />31/0018 <br />-;,i <br />Mt`,r; VICIM r% <br />PpgmI'TSERVICES <br />Empty Drums Provide O Remove D 1 A 1 1 A2 5g ❑ 10g ❑ 15g ❑ 30g ❑ 55g ❑ S P F <br />Clor-D-Tett Q4000 Test Kit: Test ❑ Pass ❑ Fail ❑ Generator Knowledge, -.O PPM <br />Transportation Charges/Additional Truck Time/Additional Labor/ LAB Packing/Site Cleaning <br />Clean: .:Y N <br />Labels <br />Oil ;' _�!,_ <br />A/F <br />UOF <br />Oily Debris <br />SERVICES REQUESTED B <br />TAX <br />We, P. O. # TOTAL CHARGES: <br />ACCe t <br />GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name ana are ClaSSITIea, pacKea, morKea, unu <br />labeled, and are in all respects in proper condition for transport by highway according to applicable state and national government regulations. If I am a large quantity generator, I certify that I <br />have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method <br />of treatment, storage, or disposal currently available to me which minimized the present and future threat to human health and the environment: OR, if I am a small quantity generator. I have made <br />a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford. All used oil from the generator listed above <br />-411 be transported only to a facility permitted by the State of California to produce used oil into recycled oil OR a facility that is required to comply with Federal regulations applicable to the <br />ragement of used oil. All relevant information regarding known or suspected hazards associated with this waste has been disclosed. The customer agrees to pay reasonable costs and attorney <br />incurred in the collection of this obli ation. Venue for u oses of this obli tion shall be in Solano county. I declare under penalty of perjury that the forgoing is true and correct. <br />DISPOSA YCLING FACILITY: <br />Collection Station <br />Industrial Agriculture <br />Government Marine <br />Other Indu al Lubricating <br />:i4561 Rood am <br />4" 1 t m6 w (; r 116 Moos <br />t02 i any .x Rw; i <br />4)1 W. C4wlnel Road <br />t'4jO Almond [kala <br />i Pz,%b. CA Wi6 <br />1304, WWW <br />3 swabtl, Cr. JG'M <br />4 Beniva, CA W10 <br />5 SMr a' Alio, ^A 89a <br />.- I -- I— — <br />...r^nrva. <br />*V%A"rv+ar rrannc11.n,x-140 <br />F111Fa1 WO PAIMY"' <br />17F1V7Wtt FI':1 - <br />