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• . 1 <br /> WE ACCEPT VISA & MASTERCARD <br /> CLEARWATER qW0 <br /> f <br /> ENVIRONMENTAL MANAGEMENT,INC. Bill of Lading <br /> REMP.O.IB Box UNION CITY, CA 94587-2407 P.Q. Box 349 SILVER SPRINGS, NV 894429-0349 Invoice # 19 8 O 9 4 <br /> (800)499-3676 FAX (510)476-1786 (775) 577-9001 FAX (775) 577-9199 a <br /> CAR 000 007 013 NVD 982 358 483 (800)471-2105 . .i s <br /> Date <br /> BILLING INFORMATION OB SITE <br /> NA E. NAME PO# CASH CHECK <br /> t <br /> f <br /> A5ECESS ADDR SS CUSTOMER EPA ID It <br /> 3 - L ft-b VZ 09 b <br /> CITY STATE ZIP CITY STATE ZIP PROFILE# i <br /> PHONE NO- PHONE NO. CUSTOMER ID# <br /> PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil,Non-RCRA Hazardous / <br /> Waste, Liquid 221 7275 �r L <br /> Used Automotive Antifreeze, Non-RCRA 3 <br /> Hazardous Waste,Liquid �'tat 96-72b')679)Z_ 00.( � <br /> Oily Water Non-RCRA Hazardous <br /> Waste,Liquid i <br /> Non RCRA Hazardous Waste Solid r„� • ar, <br /> Oil Contaminated Debris/Soil 2� 2�^ t <br /> 3 <br /> Waste.U=Wj"bfLiquid nos 3-,] <br /> UN PG Ill tt0'V, 9 0CJ t� ( _007 i!.— 3 SO' <br /> Non Hazardous Waste Liquid { <br /> Non Hazardous Waste Solid <br /> Transportation Charges <br /> Washout Charges <br /> Drained Used Oil Filters <br /> Empty Drums. G <br /> Additional Labor <br /> Pressure Washer C3 <br /> Other: d G So <br /> DISPOSAURECYCLING FACILITY: CDlleclton Station IndusMal Agriculture Government MarineTOTAL i <br /> Alvlso Independent Oil ©Clearwater Environmental Mgmt.Inc. I_� Siemens Water Tech E <br /> 5002 Archer Street: AMso,CA 2430 Almond Dr. 5375 S.Boyle Ave;Vernon,CA s <br /> CAL 000 161743; 95002 Sliver Springs,NV 89429 CAD 097 030 993; 90058 N 0 DAYS <br /> (510)476.1740 NVD 982 358 483 - (800)266.7747 <br /> (7761577.9001 ( d? <br /> Pacific Recovery Resource ��Seaport Environmental Commercial Filter Recycling <br /> 3150 PloD Blvd-Los Angeles.CA 675 Seaporl Blvd; Redwood City,CA ""--"a""��' (510) Western Ave; Union Ciry,CA <br /> CAD 000 252 405; 90023 CAR 000 140 624; 94063 (510)4j87-92j27; 94587 <br /> CAD <br /> f ,({SO)364-8154 3 V, 67 L: <br /> �/i 1-d1A',f,kt <br /> DeMenno Kerdoon C �° Aedon <br /> 2000 N.Alameda Blvd; Compton.CA 1830 W,171h Street; Long Beach,CA _ 9-7 <br /> CAT 080 013 352; 9D222 p �` -� CAD 02/8 409 019; 90183 { /�) 1 is <br /> (310)537-7100 r7' e&,Ll cA?aaa 3 ''� 1 <br /> a,rP�eejsdr.'i 4PA� 4 <br /> I hereby certify that all Information submitted in this and at 1 ched documents contain true and accurate descriptions of the waste.All relevant informalan regarding known or suspected hazards <br /> me <br /> associated with the waste s been disclosed.I et ve an established program to reduce the volume of waste to the degree to be economically practicably- l f <br /> GENERATOR A (1 <br /> S[GM1tAPRIVETUR SIGNATURE <br /> l <br /> 1 <br />