Laserfiche WebLink
WE ACCEPT VISA & MASTERCARD <br />CLE <br />ARWATER <br />ENVIRONMENTAL MANAGEMENT, INC. Bill of L-ading �E8 <br />REMIT TO: PO• Box 349 SILVER SPRINGS, NV 89429-0349 Invoice # 3 <br />P.O. Box 2407 UNION CITY, CA 94587-2407 775 577-9001 FAX. (775) 577-9199 <br />(800) 499-3676 FAX (510) 476-1786 NVO 982 358 483 (800) 471-2105 E)94� <br />CAR 000 007 013 <br />BILLING INFORMATION <br />NAME <br />JOB SITE <br />IP # <br />CHECK <br />C5T TE fF PROFILE # <br />CITY STATE ZIP CITY <br />r <br />P E N CUSTOMER ID NO: <br />PHONE NO. <br />PRODUCT PROPER WASTE 1 MANIFEST NUMBER NTITY UNITS PRICE AMOUNT <br />SHIPPING 13ESCRIPTION CODE <br />Used Oil, Non-RCRA Hazardous <br />Waste, Liquid 221 <br />Used Automotive Antifreeze, Non-RCRA 134 <br />Hazardous Waste. Liquid <br />Oily Water Non RCRA Hazardous <br />Waste Liquid + , _ <br />Non RCRA Hazardous Waste Solid _4 P -v r•���r -i rn ir�- <br />Waste Combustible Liquid nos 3 <br />UN1993, PG III <br />Non Hazardous Waste Li uid <br />Non Hazardous Waste Solid <br />Transportation Charges <br />Washout Charges _ <br />Drained Used Oil Fifters <br />Emotv Drums <br />Washer <br />Other: <br />DISPOSAL/RECYCLING FACILITY: Cotlectbn S1e9cA Ir,dvmvjw Agrictdtwe Govemment Marine TOTAL od <br />AM80 Ukepm-Awl 00 <br />Cleehvetar Env[Kw wlel Mgm1. Inc- <br />or. <br />© OM Environmental \,S tV . <br />3850 E M 8troat Verw, CA <br />NET t 0 DAYS <br />Booz Arener slroec AMM, CA <br />z+3o amonC <br />stare• Spgny�. rry 69429 <br />CAT p60=601" 90gxi <br />cal 0001e+ X43 48002 <br />Mro 902 ase 463 <br />(320) 2663055 <br />(510)47t-1740 <br />MM 577 -VAI <br />r+18eecon <br />EMI"mmente+ <br />Cammerdal Flltet R; yCing <br />QrpjX fen kae �,^J <br />Redvveod City. CA <br />Urk <br />33210 Weatem Ave: tmkn Clry. CA <br />t 125 Henste7 Streel; Rkhmend CA <br />RMS111 ShW <br />CAD 00031069; Bd083 <br />CA OW 32 OW <br />(510)187.0177; 94567 <br />Ca• 080 022148: 8430+ <br />(660) am-al60 <br />(510) 2938001 <br />oeMerrho Karw= r= <br />evorwoen Cd <br />6800 StNlh Aw, Na -ark CA <br />2000 N. Alameda glvd: Campion. CA <br />CA0 Seo 697 410: 94560 <br />CAP COO 013 362: WM <br />(510)745.1400 <br />(910)53%•7100 <br />ewlaln true and =7t-.demAptions of the wosta A i retevanl Information regormng known oras ootid ha2xda <br />I Rereby cntN that all in(armanon adb(Wrr9d In fts and an attached <br />Oowmon� <br />0 i cdcame. <br />asa0elat with 105 ha6 been daclosed. I ccrtlty that WS <br />an eele6nshad program 10 faduce the volume Of wade to the degree e <br />GENETO <br />DRIVER <br />_ _�, <br />S GNATU E <br />SIGNATU <br />