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12/16/03 17:25 NORTPDX FRENCH CAMP 2094683433 NO.214 P22 <br /> GREENLEA'F ENVIAONMENTAL SERVICE DILL OF LADDING 4 HT10727 <br /> P.O.. BOX 765,, 1:lPA NUMBER CAL000263781 <br /> LODI, CA. 95241-1765 <br /> (209) 754 4600 <br /> PICK—UP 3FIIp 'rtJ: pATEM <br /> c NAME CUS r NO. ' { <br /> U WORT'RAX W T GREENL.EAF ENV. SERV 03--009 I <br /> T ADDRESS � TERMSl <br /> 0 8855 S. EL DORADID STREET 3474 TOYON CIRCLE <br /> E. CITY STATE IIP 'VALLEY, SFIRIP aS, GA '�PH'~�NE 4209 <br /> R FRENCH CA CSA.. 9523195252 1983-8122 <br /> .. ... w.w,.r..Y._.Y. .-m.ww... —. „-... w»•-+w+w ._ .w, _.-.r�ai.r-. wn.w..ww. ._..w............ •---� .......w...._....-....�-CUSTOMERS PO#C� <br /> .r_.._._.._.w_..,__: r-u..._ .. �--�-=r::,r..x�-w.. .W.cr.;s -• :...:s�:.��.,.._. ..w..�..w C.r...,�� <br /> PRODUC`r PRICE AMOUNT i <br /> DRAINED US&O. 01 FILTERS _ 5 Gk L. l;)R <br /> 01L ABSORBENT M TERIAL 5.5 tale DR <br /> .. <br /> Fp-1 <br /> r.....r•_w.�.,r.,.�._.. i.w ww.........,..,.r.wu.r... .n W....r ry r.+rti w_....._... .....w�+w._..�..�.�_..b..�......r...._.� <br /> MISC: EMPTY DRUM SCRAP METAL, <br /> MI SSC EMPTY DRUM PLASTIC <br /> mwa,...w.kwir.rr.r...nrww.n.nwY`v.rw. ww.+r. i vv.�r.wrn.nr.-r+�..wwu.........:... w.i ru .u.wuvwwrh—i• ....r......i. w___...varru ._r+ .�.�r.�rr_wru.0 w.ww. <br /> DROP ,CUST DRUMS NEW ACCOUNT <br /> CRUSHED IJNC'R 19HE✓awr EMPTY,�r__. <br /> .-,-�.-_..w-..^::';..:8 �:;,r.„.,, '�._"=,+.'.::.....,. �,.c ^:.r..-.,.....,...:t^.:�I�Y^,�.?.�.cr.:C:cYCa' ,:-�;�:.';.w,..,....,........�.Y,:,••: ..........._..._._., I w._-- ,--- <br /> TOTAL. j - <br /> CIiAROIrS L <br /> .. r 'S �'� < AND. <br /> d <br /> N'S,S .�l•`l 1Hfh� a�l�t7�'F: .E 'rl�LJl� A C� <br /> ,T C=Y 'rl-IA'"r I•`{G:, ;f:r�>"�c�t�h4ATxf3r<t R C� THw. AMOUNTS � <br /> II .'�Ei� I t <br /> �,C„URR£CT„ AND TH. T TMC' USED OIL. R'IL;T. FM PROVIDED TO OREENLEAF ENVIRT SERV <br /> MEETS THE ;DEFIN TION 'OF USED OIL F'[LTE:RS PURSUANT TO CALIFORNIA H(n-L.Tl-I <br /> AND SAFET� CODE SECTION 252501 1. UNLESS .CTHERWISE NOTED. THIS FLIRTHEIR <br /> SERVE}. AS NOTIFICATION I'HA•r THE AF300 WAST..- IS BAl`1NE0 fwi.C.M LAND 01SrO>AL. i <br /> IDERSUANT TO SECS ION 66,268.7f10) OF 'TITLE 22. I ALSO ACKNOWLEDGE T'''riAT J <br /> +-HAVE READ ANIS A' RE'E TO THE T'FPHS AND CGNT:C"rTONS SET l=•(JQTH Old 'ri`IIa F-ORil, <br /> x <br /> -'� <br /> DRIVERS SIG ATURE GATE d y GV.NrJlAT0P%'5 SICNA'rlJRE• W-)T ." j <br /> 9 <br />