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r, C r r r x 3 <br /> n rorent � 1#r� 10 3460J <br /> !fir y �r f nJ a,' i re tr t •' ill'0 Lading <br /> Waste 4a ii(Weeze Recyrl1n <br /> ,P Dox 481 Ftlk rR yi �T. <br /> e�yc`�ng �i"ixe Deep !s �� DT E lr so f`a r <br /> ff <br /> -479 <br /> Bi11ingIgformation 06 Site <br /> Name` r . <br /> Lvl�ine PO# hl eck _ <br /> i <br /> Address 'Customepgpm <br /> City State Zip City ' a Statla� ZIp r' <br /> Phone# Phone#. <br /> pr+aduct/P[ ert�g-. _ Waste Manifest Number Quantity Units Price Amount <br /> Desf:npfion Code <br /> Used'011, Ri rr RCRA Hazardous`' 221:=•.. `r' ' <br /> Waste, liquid: _ <br /> Used Aufam_ o06 Aritlfreeze; 134 <br /> Nott RCRA Haaaidous Waste, <br /> - <br /> Oily VlTatar Ton RCRA ' <br /> Hazardous Waste, LiquisJ, 223 <br /> 011y Solids,' Itin RCRA 352 : <br /> Hazardousr<I/aste, 5biic 1 Ulf .�� fCt Cb r <br /> Drained�Used Oil &Gasoline <br /> Filters <br /> UN 1993, Waste Flammable <br /> Liquids, N.O.S.,3,PG111 <br /> Drum Se /pickup,: etal/ Size 5/15/3 <br /> -Poly. . <br /> Total <br /> Clearwater Environmental MG61T Ramos Environmental Big Sky Enterprises Bayside Oil 11,Inc, <br /> 2430 Almond Drive,Silver Springs,NV 89429 1515 S River Road,West Sacramento,CA 95691 401 W Criannet Rcad.Benicia,CA 94510 210 Encinat Street,Santa Cruz'CA 95060'. <br /> 800-471.2105 916.371-5747 510.541-2128 831.427-3773 <br /> NVD982358483 CA0044003556 CAL000301639CA008838M <br /> DK Dixon Crosby&Overton Clean Harbors of San Jose,LLC US Ecology Beatty NV. <br /> 7300 Chevron Way,Dixon,CA 95620. 1630 W 17th Street,Long Beach,CA 90813 1021 Berryessa Road ; Highway,95*11 M.le;South of Beatty <br /> 707-693-6008 562-432-5445 San Jose,CA 95133 Beatty NV,89003 <br /> CAT080012602 CAD028409019 408.451.5000 800.239.3943 <br /> CAD 059494310 i EPA IDO NVT 33o 010 000 <br /> 14 <br /> Driver Signature ✓! Generator Signature I <br />