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FREMOU -- <br />SO- Payment to: "RONME N�'TA jr -- <br />po. >30� 287s bone: soak 74 1 7 1 L . "RVICE, ,INC. <br />ti'acaville, Ca 95696-2875 Phone: 707-448.3700 EPA ID # arAR000171017 <br />WWIV.hazardousdisposaket Fax: 707-448-3499 U.S.D.'O.T. # 14846x67 <br />D.r.s.c. # 3544 INVOICE # �j q <br />SITE ADDRESS 111111111111 <br />CA # 274461 <br />"'ustomer Dare _�, i <br />sl133 <br />LLING/✓"AILING AiiiiiiiiiiiiDDj <br />1031 E. Chung shet customer <br />Stockton, CA 95205 1031 E. Church Street <br />E.P.A. iir <br />StocktOn, CA 95205 <br />Additional Contacts: (209) 463-9040 Phone <br />(209) 9414.497 <br />PRODUCT - SERVICE INFORMATION NUMM PROPER PAYMENT TERMS: NET 7g <br />. 1'� • sT . 30 . 4s . bo . A0 . 1eo •s w/c SHIPPING DESCRIPTION <br />WASTE <br />CODE MANIFEgT NUMBER QUANTITY UNITS PRICE AMOUNT <br />:N <br />SERVICES REQUESTED BY <br />75. <br />We ... ,� I.�— ua�er WOOD L�PTied 2119-4W q 6 1AX <br />kCCa t ® r P. O. # <br />�ENERATORI CfI ICATioN: (hereby q TOTAL CHARGES: �1-t b d7 <br />ibele d, And ore in v8 res edare Mat the can}ents of this consignment oia lu6y ntl eccuratC descrbad Above by Draper sh ..� <br />ave a p pere In proper o'umean far transport by tg geneivayrated <br />according to app <br />gre I'Cob'e stato and nnhonai government regulations. if 1 urn a largerquOnntitY genpeTTa orr. I erfify that Ia <br />programa bee is reduce the va'umo one toxicity of waste generated fa ;rte gogse I have determined to be econom calfy proctkohb and That 1 have selected the Arae cabb mothoa <br />f fi Ttfait t, storage, or disposal currently avoid <br />to me which mixt mired the present rind future threat ro human ttealh and the Cnv ro tilcob OR, N I am I smelt f <br />11 xl fans puler to m no a facility <br />mli waste generation ria e of C the best avaste monegement method that ire avdIcib a to me and that I can afford Ae used ab from he ganoratot listed above <br />nU be transported only to c fact ty paint lied by the State of Cali' to produce vsod oii;ntc recycled all O� v focifty irtat ro required to ccmply w th Federal ro gUon ity generator. I have made <br />�onagemeN of vseti oy. qll rebvnt Intormafion repordi+x,7 kno Or suspected hazards assocafed with the wane hos bean disr_losed. The customer rens io <br />yes into e6 in the co'lec tion of lhls ohs anon. venue for gsdahons aPplicoUlo Ir, the <br />os of This obi at an shay be in Solana count . t dea.are under end't of that rho for an �rhuesonde costs and ohomey <br />orre <br />SALJRECYCLfNG FACILITY: <br />lection Sta}fon Industrial Agriculture Government Marine Other <br />L�Frer�rtx indufblal Lutxlocu Iing <br />i 'ImSA:YfOIkrD � Q [j <br />0 <br />TT6cca7�Qk WT S:nsai pp c g <br />