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12/16/03 17:25 NORTPQX FRENCH CAMP 4 2094683433 NO.214 IP24
<br /> 'GREENLEAF FNVIRONMENTAL SERVICE SILL OF LAD15ING
<br /> P.O. 82:.1=41 -1765
<br /> ox 1 b5 EPA NUMBER CAL`0016,3781
<br /> LODI. CA. 5241-1765
<br /> (209) 754- d0 �.
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<br /> PICK-UP SHIP T0: _ DATE
<br /> 1 C NAME .UST NO
<br /> U NORTRAX WE T L•REENL,EAF ENV. $ERV 03-009
<br /> I T ADDRESS TERMS f
<br /> 0 8855 S. EL DORADO STREET 3474 TOYON CIRCLE
<br /> Lv CITY S,T A T f- ZIP VAL,L..t"Y SPRIN6120 CA I1,1140NE' (209)
<br /> R FRENCH CAM _ CA� 9523 _,M... .._...,_9525 583-8122__ ....
<br /> CUSTOMERS Ptd#' ''
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<br /> IpRobUCT PR,ICE AMOI.JNTrv��
<br /> DRAINED USED COIL FIL.,TERS 55 GL. OR 41-01")
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<br /> CRUSI-•IED UNCRt SHE=D EMI'''TY
<br /> X CERTIFY THAT T E: 7 NFI?RP1AT'ION AND TI••IEAMOUNTw Sf~1QU�N ABOVE ARE: TPUE FIND
<br /> CORRE ANO T'h1f�f T'►�C: Ll:3C"L� ©IL, FILTERS F�I"dOVIDFzD TO G�F�'f; E�l1rFAF C;i4VSI:C) >f RV
<br /> MF FTS THE DEFINX ION OF USI:'•(: 011, F"IL.TER!3 PURSUANT TO CALIFORNIA HEAL_T}-)
<br /> +; AND SAFETY CQQE f CTION ` ',?50.1.,, UNL_I SS OTHERWISE NGTEn_ T11.13 FL.IRTHFrq
<br /> SERVES AS NOTIFT.—Al*.TQN.-T9(-)T THE' AS WASTE' 15 BANNED FROM 1.AND DI SICJ`
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<br /> PFRSUAMT TO SECT ON 6 ,208.7(10) QF” TITLES: 22. 1 ALSO ACKNCWl.,.F-DGE THAT X 1
<br /> HAVE REAL) ANO 'AG 1EE= TO THE TERMS AND C NTITIONS SET F811-1 GPS Tillil s FORM.
<br /> DRIVERS SIG AT'URra' BATF:: O NERATOR'S SXGNATUREE (DATE:
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