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FREMOU T FTVIRONMENTAL WRVICES, INC. <br /> Send Pa'ment to: Phone: € r EPA ID=CAR0001 1017 <br /> P.O.Box 2875 Phone: -) --48-3-00 U.S.D.O.T.4 1484667 INvo1cE # 2 3 6 4 0 <br /> Vacaville.Ca 95696-2874 Fax: ' 7-448-3499 D.T.S.C.=3544 Date <br /> wwwhazwasteremoyal.com CA f 274461 Z 3 <br /> SITE ADDRESS Brannon Tire BILLING/MAILING ADRMnnon Tire <br /> Customer _ Customer <br /> aremon venue ox 1988 <br /> Stockton. C/A 952G7 Stockton, CA 05201 <br /> .,AL u�� 9ID 038 <br /> E.P.A. # Phone <br /> 209 W-9000 <br /> Additional Contacts: Mike <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 7 . 14 • 2'. • 30 • 45 • 60 • 9 • 180 • 365 W/C WARTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CE <br /> I ) c-Y-Scv� 6( L <br /> 7- •7 7t M77 7q 71 ,,)s 7r: � i j4 I 1.00 <br /> is 60 <br /> Ptu 71 <br /> Empty Drums Proviae ` Remcv = 1 A 1 1 A2 5g 7 '09 ❑ 159 ❑ 30g ❑ 55 ❑ S P F <br /> Clor-D-Tect 04000 Test Kit: Test 7 ass ❑ Fail ❑ Generator Knowledge Uf PPMU"., <br /> Transportation Charges/Addition 1 Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> Clean: N Labels JA/F i/ UOF (j4 a f` "Z Oily Deb' - / of Z, <br /> SERVICES REQUESTED BY )+-• TAX <br /> We <br /> Accept P. O. # TOTAL CHARGES: <br /> GENERATOR'S CERTIFICATIONS _„ c�_are' _c., -- - -rer-c•e+ :- ;describec obove oy proper snipping name and are classified.pocked,marked and <br /> labelec.cnC se I di - - a _ - --- - - -- <br /> hove c p ogrcm in plaa2 _ -_ re _--+- ox o = V-- s'c'e cno^aro.^.e,goy ern ren!reguic!ions. If:am a large quantity generator,I certify that 1 <br /> �a c c.e aeterm n to ce eco^omicalry orodiceble and that I have selected the practicable method <br /> of trea storage.or dsaosa c.,een-, a ' b to a zec r^e p se th_o' n real'h ord the env onmert:OR. t am a smallquantity <br /> a good ailh effon ro <br /> minimize my vasi.e gererc b ar e ,he be wcs`e^-nage r .ethca 1t's wa,.ob,e'o me ord thct I can afford. All'used oil from e gen9ator�l�ted laboee ode <br /> vnu b frare, s only t ac vo ,e•,or+ee b.• e 5 �e o-...o. rric!o p-,oa'.rce useo o,' n c ecvcao oil oR c facility the+is reciorea to comply with Federel regulations applicable to the <br /> mon gement of used a r •e exon ' 'o m o oa c,r krowr er suspected r,azords csscccteo war rs waste has beer disclosed. The customer agrees to pay reasonable costs and attorney <br /> fee ncuned it the cc[@(:.. o'-!'i ablieet:ar. V -_•e fo• uracses e'th's ob! coon s�Soiero county. !declare under penaltyof Pedurythat the forgoing is true and coned. <br /> D PQS. RECYGLtfVG FACILITY: o{!e-Ction Station ln�u t h„ s,ggi ylture verrament Marne Other., _rndusmal Lubatating <br /> rn y 1''�' .e�=.:•z= 2095 tJeulands Dr,Earl <br /> G ej, 89400 <br /> . -^1< ,A 7 E7,6222760 ry . <br /> V \ 1 <br /> Print Name Generators SignalIK, VVV <br /> I hereby certify t t I have read and have the authority to bind t bove listed generator to the .rme n sltnoat awa—�;Aa^F Ill j^'_ <br /> 990/TEOIA OMI SOAS MIH A20WHHA 66bE8b6LOLI XFd TZ :91 TTOZ/ZZ/80 <br />