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,JUN 03. 1559 14:32 FIR SK -718501
<br />209 545 3680 TO 4603389
<br />H17W;}t 778601 t:ata 'L3
<br />,E•Anhrl4ll
<br />f,...''
<br />afnty-KI®en
<br />'r�
<br />,
<br />CIu5�t4W lI, B�uDd_ 9,
<br />Plana, Tay#
<br />76M
<br />2ax3.545-10fi.
<br />C1�TO►ERr: 2.401301
<br />NARTIN
<br />REPUBa Kill
<br />00251
<br />SERVICE TAX: 0.07750
<br />TAX: 0,00000
<br />4704 SITE: CT
<br />MC lim! M-53
<br />FRMLrT TAX; 0.97760
<br />$=TON
<br />DATE: 12/31103 12x43
<br />CA
<br />2p�e 3748
<br />PJXFASEWX
<br />TAX EXEN?TION irf>Et•
<br />P.03
<br />lal�uua Ic7w� rna 1
<br />j SMVICEI PRODUCT/SERV,4CES
<br />FR=KITAL
<br />MAU ®TY WIT PRICE TAX t5
<br />00 100001 TEMPORARY FUEL Sl MARX 1 5.9000 0.00 5.90
<br />00 54930 NDL 14 kl PAR MOOIu/W17 i 157.2500 12,19 169.44
<br />04012857 CLEM 2 SPRIT 0
<br />j StAVICE TETt?l _ t►
<br />,.......... ........... •-----
<br />i TOTAL SERVICE/PAOD1lCTS 163.1500 12.19 175.34
<br />USEPA TftgNypptB 1 TAMOVSDB30 GBIPAYIP t!xP9'_.'L1+Or''SF"i6
<br />UVA TRAWSPt ER 2 GE14ER1iT ti' a Tt
<br />MANIFEST WC M 22990306 FERN DOOE CA TRW-'IttLi 1 10;14''.&—a
<br />US DOT `MIPTION (I aWiNG (OWER h4f!APINO Ktite?, rJZAW CLASS #0 10
<br />1ST CLEANING N.Q. t ,a,g
<br />LlQJIQ (NQT UMOT OR t1S19rA NEGU Y6)
<br />TOTAL ONT 151YA5? tt TWE IN (e QTY 17 GYIT NTIWL G S'LODT:941.
<br />CONTAINS 31206VASt QTY 17
<br />t�15NATFD_FACiLITV NANEtAM5U;
<br />i SAFETY-KLEW MTEN5, Iw,
<br />55MOAL I A L I OA 9LU0
<br />CA 95368
<br />1SEPA 10 NO CAT000613M TOTAL. NAR(>E 1$.34,
<br />STATE 10 NO CAT000615968 WTE KIN, 0,00
<br />- TOTAL OLE
<br />176.31
<br />Nsehlrw clean and cadltion? Yes �y
<br />Decols Ir ;does a . t, tFi41? �c9 ® i
<br />Fusible Ii mit I lw t%;" 7ss
<br />5.10-Y elasinp of 114 unobstructem YesMachine
<br />properly ""'bo
<br />r Yes
<br />Spent solvent meets acgptance criteria? Yes � 7: t)q ^O ,
<br />=rap W taarnirg (Calf. only)? Yee '* C
<br />QN RATOR $TATW 0 220 lbs/Month "' 0 ° (=
<br />Custr�r oeri:fle,: that (1) the stave nnMad csterlais are rYra�J
<br />elar"Ifded, PF,okaped, Marked -and labeled, and a,* ,in P operty
<br />ter trarwportation according to the applicable Proper condition
<br />Owariasnt of TransportetIon and (II) no materIarlchmttorte of cu
<br />rred
<br />either in iho characteristics of the uastc saterlats nor Inethe cproas
<br />Ipmerating the waste materials, Custas�r proasc
<br />char c and to be bound b hs fiats to pay the afoot
<br />tlw �w (.,hrFs r y t teres. and mnditlRns Vit) �sct forth in (a)
<br />loerr.. I . 0 by Cuctoler9r s:.Gl „K., cna a, 'Sr.Yveyarate4
<br />,n.., („Inco wtl�...l_4 1..,_.nf._1...! ,: .�: .. -_•
<br />retrrro.a' SrC110r1..�,i ly -10t n, Izrdd ,••. , _ acroun
<br />t,.,, �-,:�+, �-•a1( .t. to Ghar9s.1�aalar's account for this
<br />Ix,r i 4f s 1cr .� 'b flY1
<br />1N 1rS: e:�.,e� (. I'^(�•le 8'.v (P.i
<br />to HM1d
<br />/49
<br />StGIUiIAiE N44E: N4KE . ".. .
<br />LAST PAGE �� a
<br />DO hi4?ivla`iTE
<br />DT --4; 6Q- •j.s.
<br />EPA 8700''^22
<br />TOTAL PAGE . I03
<br />
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