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FREMO I'• TVIRONMENTAL WRVICES9 INC;. Send Payinetill Phone: 00-559-sL74 EPA M#CAR000171017 r', �{ P.O.Boz 2875- Phone: 07-448-3700 U.S.D.O.T.#1484667 INVOICE # �- 2 �• VacavWe,Ca 95696-2875 Fax: 07-448-3499 D.T.S.C.#3544 Date `t www.hazwas a=ovaLcom CA#274461 SITE ADDRESS BILLING/JNAILING ADDRESS _ Customer Brannon -Fire Customer �ran;l in i ire >r tocktori. C.A r`.4 „�. r.t; 201 .:+it'1� ;;lf i, �Ji`'' ..Via. 1 E.P.A. # ' 9 ` ,S" Phone Additional Contacts: %vim ter'(. 1t) IJ Iflike PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION 7 • 14 . 21 30 . 45 60 • 9 • 180 • 365 W/C WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT CODE -' - _ . .._ •it: - _ _ . '.1.`�-'i _ r1 ..=s./.,c1 �;:.. �;i/ '- � ..�..-ic� '4.✓r' G�� rl�� N�� iir� �:^'•.`Z %Gs:r.�.'b u� TTGSsty ..f .'t:•�; �'��v'/'1.1fi 1 -r2t•Zc' t,rh •:.^, 1.00 .i,rte b<•�t�h. ►yc�f: ,:�J ✓t �•ZZi i?:iu :''ir•5 �t11 �'.•r:2+ t.h.L4:, �3-C.�'�J ..:J.'. _I'.i'1 ii , •Cn..1 't liii.4J YTi:See ,iinY."$p: _P.,i9C. ;s.t•..,. !. ,ii�`:y 3. t'vtt:i�CS.�rt?-��tSSCii ��';r;(iiC Empty Drums Provide C11 Remove IAl IA2 5g❑ 10g❑ 15g❑ 30g ❑ 55g O,S P F Clor-D-Tett Q4000 Test Kit: Test❑ ass❑ Fail ❑ Generator Knowledge M` PPM {, Transportation Charges/Additional ruck Time/Additional Labor/LAB Packing/Site Cleaning Clean: 'Y. N labels' Oil A/F UOFOily Debris SERVICES REQUESTED BY TAX OL We Acte t = IF P.O.# TOTAL CHARGES: +✓ GENERATOR'S CERIIRCATION: i hereby declare too- rt contens of-`:is consignment are fully and accurotety described above by proper shipping name and are classified,packed,marked.and labeled.and are in orl re!oe a ^.prone+carriror'a rarsaar cy�igw+ay ccco.—r-C to applicable state and notional government regulations. If I am o large quantity generator,I certify that I have c program in piece to recuse irte va me ara' �cc-ry of waste generotec to the degree I have determined to be economically,practicable and that I have selected the practicable method of treotmeni.storage.a disposal curren-y ovciiabie- ^:e which rninimizey the present and future threat to human health and the environment;OR,if I am a small quantity generator,I have made o good faith effort to minimize rriy waste generation a. select the test waste management method that is available to me and that I can afford. All usedoil from the generator Fisted above rr o a transported only to a faciTrty permitted by the S ate of coGfornio fo produce used os into recycled of OR o faaTity that a required to comply with,Pedet'al regulations applicable to the gerrerl of used al. AJI relevant information reg ding known,pr suspected hazards associated with this waste has been disclosed. The customef/agreesYo pay reasonable costs and attorney fees incurted in the collection of this obri orlon. venu for u sEs of this obl' otion shall be in Solan County. I declare under nal of that the forcoing is true and correct, DISPOSAL/RECYCLING FACILITY: (;affection Station Industrial Agriculture Government Madne Outer Indusllnol I Lubricating �.Y?•'yi ilf irk ttr'. �'',tF ,�9[ =C ;'vi.v+� retrta•!:.t t;r;.;, c.a Sx-,c"•in,n i �` i '"tyi i;eft+.ts•�11rAi i li�yu.:.s :£055 •tr• -• - - - ..•..,.r<-1 �''t,: :. Y• .:�wnno},c. r r � r��`,fvexL�rxGiekCwj -r2:�:'"ice �':� ..••:� 4.''1.,� SiJ•iw=4k'1� .'..si`G`.:.�d '�7.3 .. .� .. a ,t: .� f J '•"•_�rlti• r%Y' 'A:. _ _,.1.;:'<_ ..,?'i:•£•CE9i?1>; �1$:.c•S�Y• ..�C�'.:;t+a�ti• Eir.:=.--y._- ,� r.i^ar,_:,�'��'t !'1:??c�,'3:;zft a 3. 1 ,r nerators tjgnotwe / Drivelure 77 I fid rea an have th utho ' to Ind the ab a listed enerator to the terms o e reverse side of this form. 990/ZZ0 DNI SDAS ANH AA0KHHA 666E8f6L0LT XVd 61 :9T TTOZ/ZZ/80