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FREMOUW ENVIRONMENTAL SERVICES, INC. <br />Send Payment to: Phone: 800-559-3274 EPA ID # CAR000171017 <br />1 iox 2875 Phone: 7071348-3700 IT S D.O.T. # 1484667 INVOICE # <br />Vacaville, Ca 95696-2875 Fax: 707-448-3499 D.T.S.C. # 3544 <br />www.hazwasteremoval.com CA # 274461 <br />SITE ADDRESS <br />Customer RamhL FnIa1nP & Transmission <br />1031 E. Church Street <br />Stockton, CA 95205 <br />Additional Contacts: 209-463-9046 <br />Customer■.111 11 1" • .1 11 /1 <br />Phone <br />1031 E. Church Street <br />Stockton, CA 95205 <br />RPmP.al Mehhran <br />ser.ill ceovlr`C 11►IrnDAAATlnN/PRIf)PER SHIPPING DESCRIPTION <br />rR\/VVvI - VV.%VIr0-WASTE <br />7 14 21 • 30 • 45 • 60 • 90 • 180 • 365 W/C <br />— - <br />CODE <br />-- — — - <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />Non-RCRA Hazardous Waste Liquid Used Oil <br />CA 221 <br />[ ] 21st Genkiry EMI <br />2085 Newtar& Dr., Eesl <br />P.ML V IW Ro" <br />N/C� <br />Non-RCRA Hazardous Waste Liquid (OiN Water)—CA <br />Drained Used Oil / Gasoline / Diesel Filters <br />223 <br />NIA <br />Cti e° <br />CA 223 <br />Parts Washer Service <br />CA 223 <br />.-RCRA Hazardous Waste Liquid Brake Fluid <br />CA 343 <br />Waste F <br />q . <br />ONMENTALHEALTH <br />Empty Drums Provide O Remove 1 Al 1 A2 5g ❑ l Og ❑ 15g ❑ 30g ❑ 55g ❑ S P F <br />ZI <br />Clor-D-Tett Q4000 Test Kit: Test ❑ Pass ❑ Fail ❑ Generator Knowledge PN&-& <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 BY <br />Q I5- (� I <br />TAX 00 <br />We <br />Acte t <br />P. O, # TOTAL CHARGES: <br />Docked, marked, and <br />GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are ruiry and accurulaly r <br />er�r • -• ••r - – <br />labeled, and are in all respects in proper condition for transport by highway according to applicable state and national govrrmeni 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 />nood 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 />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 comptywith Federal regulations applicable to the <br />,agement of used oil. All relevant information regarding known or suspected hazards associated with this waste has been disclosed. The customer agrees to pay reasonable cosh and attorney <br />cs incurred in the collection of this obligation Venuejao ores of this obligation shall be in Solana county. I declare under penalty of pfq'ury that the foEuoinq is true and correct. <br />d —1 attng <br />DI O5AL/RECYCLING FACILITY: <br />ollection Station <br />Industrial Agriculture <br />Govemment Marine <br />Other In uOil it <br />n Oil Inc. - Dain <br />44561 Road 308 <br />[ ] Evergreen Oil„ Inc. <br />`6380 Smilh Ave. <br />[ ] GEM Rancho Cordova LLC <br />11853 While Rock Rd. M ^ <br />[ ] Big Sky ErrvironmenU <br />401 W. Channel Road <br />—r,in <br />[ ] 21st Genkiry EMI <br />2085 Newtar& Dr., Eesl <br />P.ML V IW Ro" <br />