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111 <br />FREMOUW ENVIRONMENTAL <br />Send PaN Inent to: Phone: 800-559-3274 EPA ID # CAR000171017 <br />P.O. Box 2875 Phone: 07-448-3700 <br />U.S.D.O.T.# 1484667 <br />acaville, Ca 95696-2875 Fax: 07-448-3499 <br />� D.T.S.C. # 3544 <br />ihaawasteremoval.com CA # 274461 <br />Customer k/L'LW1 k 1,(5fytt I Tya_o 5 <br />Address x�}}10 31 V L 5 V C t <br />City I D L U ►'N Stpte 9 5 n 5 <br />zip <br />E.P.A. # C - A L_ 00 -3-33 6 G <br />BILLING/MAILING <br />Customer _ <br />Address_ <br />Cay <br />Phone <br />PERVICES, INC. <br />INVOICE # 19 <br />Date 'tS - / N <br />State rip <br />Phone Numbers: <br />Office (a-Oy3 - 010 10 Fax ( ) Cell ( ) <br />Contact: P✓e. M10 c_ l E-mail: <br />one%r%IR.—Ir [�nixi►� ■ue mow.. <br />Fax <br />I F%WUU%,l - JCrtVILC lr4rVKMA11UN <br />r'KOPER SHIPPING DESCRIPTION <br />30 60 90 180 365 <br />1 TT Y N <br />I H S <br />WASTE <br />CODE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE AMOUNT <br />Non-RCRA Hazardous Waste Liquid <br />(Used Oil) <br />CA 221 <br />Non-RCRA Hazardous Waste Liquid'(Used Anti -Freeze) <br />CA 134 <br />Non-RCRA Hazardous Waste Liquid (Oily Water) <br />CA 223 <br />Non-RCRA Hazardous Waste Solid (Oil Contaminated Debris, Soil) <br />CA 223 <br />Non-RCRA Hazardous Waste Liquid (Latex Paint) <br />CA 291 <br />Drained used oil / Gasoline / Diesel / Filters <br />N -A <br />1 <br />Combustible Liquid, N.O.S-, NA 1993 (used oil) III <br />CA 221 <br />Waste Paint Related Materials; 3 UN 1263, PG <br />331, -' <br />Waste Flammable Liquid, N.O.S., 3, UN 1993, PG H (Gasoline -Diesel) <br />331CO <br />t8 <br />Waste Aerosols, N.O.S. 2. 1, UN 1950 PG <br />01 <br />L4 OF <br />q0 I 6J ( l c K51 <br />Empty Drums Provide D Remove 5g ❑ 1 Og ❑ 15g ❑ 30g ❑ g ❑ S P F <br />- <br />Clor-D-Tect Q4000 Test Kit: Test ❑ Pass ❑ Fail ❑ Generator Knowledge ❑ PPM <br />Transportation Charges/Additional Truck Time/Additional Labor/ LAB Packing/Site Cleaning <br />Q AM <br />Additional Equipment Supplies <br />Hazardous Waste Labels <br />P <br />�)NM 'A,-i*4.. •k <br />_s <br />Used Oil Disposal Fee <br />9 I l EvsPplW ErnlrgworrW SWIfft" ylt<' Rnd 308 Di� CA $MIS CAOl M4W4 (510)n& -44W TAX <br />Ace t '._ rii�""- <br />P• O• # TOTAL CHARGES: <br />GEN ERAIOR S CEfflirrc-Attum I hereby declare that the contents of this consignment are fully and accurately described above by propershipping name and are clossifled, packed, marked, and <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 minimae 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 />will be transported only to a facility permitted by the State of California to produce used oil into recycled of OR a facility that is required to comply with Federal regulations applicable to the <br />management 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 />fees incurred in the collection of this obligation. Venue for purposes of this obligation shall be in Solano county. I declare under Denaliv of oeriury that the foraoina is Prue and r -n-1 <br />["'IOSAL/RECYCLING FACILITY: <br />L Evergreen 01, Inc. <br />I 6880 Smith Ave., Newark, CA 94560 <br />510.795.4400 CAD 980887418 <br />Q commercial filter Recycling <br />2 33210 Western Ave., Union City, CA 94587 <br />510-487.9227 <br />( Collection Station I Industrial I AgricultureI Govemment I Marine I Other I Indust; I I LubricatingOi <br />General Environmental Management, Inc. Veola ES / ERD = Ramos Environmental <br />3 11855 While Rock Rd., Rancho Cordova, CA 95742 5 S736 West Jefferson, Phoenix, Al 85043 7 1515 S. River Rd, W. Sacramento, CA 95691 <br />916-351-0980 CAD 980884183 800.368-9095 AZO D00337360 916-371-5747 CAD 044003556 <br />Q Industrial 01 Q Attamonf Landlill Q Bongo Oil LLC <br />4 1291 laverne Ave., Klamath FollyOR 97603 6 10840 ARanord Pass Rd, Livermore, CA 94550 8 22211 Bongo Rd., Fallon, NV 89406 <br />541-884-9124 OY8�6980775 7 t 925-455-7300 CAD 981382732 775 867.50Ati NVR 000088655 <br />