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FIEFNIOL iWTIRONNIENTAL *RVICES, UNC;. <br /> 78 <br /> PAY R,.; 21%- - D.0. .= I4�46: I\VOICE # <br /> �J\J'.ilio. � _ •I�f+c•.-_� . :.. ___ ._ _, v T.`•`'....- ::.'L <br /> ,.-ZZA :z: "C'7. CA Date 0 —1 0 I I ll <br /> S17E ADCRESS 51LL1'45/1MAILING ADDRESS <br /> Customer__Rran on Tina Customer Drnn nn Tire <br /> 4905 Clarem t Avenue P.O. Box 1988 <br /> Stockton, CA 9 207 Stockton, CA 95201 <br /> E.P.A = __--—— CAI 000-19&53A -- _ Phone <br /> Additionai �:ontacts: 209 77-900 <br /> kAikA <br /> PRODUCT - SERVICE INFORM.ATION,, PROPER SHIPPING DESCRIPTION <br /> A= <br /> _ CODE MAU!'rESi NUIJBER QUANTITY UNITS PRICE AMOUNT <br /> e ti-� I Drn N N I c. <br /> I <br /> Wastr: dart RliatPe k,4atmaK I IiN1?63 II <br /> Nor,RCRF. h <br /> !t- 11 <br /> Cmbisbitie Lqjd,N.0.5- NA1993 III <br /> FA <br /> �ca1f:. sal X204Fu I I LOVA-44- cH¢.Ts r wf-skj A0 - lC" - <br /> — - A.2 " :1 5oJ30^ :3 55g7SPF <br /> :j Cer e-ator Krowiedge ZI PPM, <br /> - z:es. t c. „CK-^�;e,,Acdl.;o _cbor/ LA® Pcc -n,g/Site Cleaning <br /> C'ecr: N _cbe s C' A/= UOF Z Oily Debris <br /> SERVICES REQUESTED 8T ! r. 3i G ` jv; TAX •00 <br /> f+eP. O.#. TOTAL CHARGES: <br /> Acce <br /> GENERATOR'S CERTIFICATION: -=_-ec, ._.c -.-_--4e= --, --:__-:____... ,_ Czzz�nez:zz'_ _zy o'aoe•:�ipolnc,am=and are classified,packed,marked.and <br /> e-- _ = - _ -_- _ _== _ - - _ -c-s. o gorge cucr ifY gsnerafor,I certify that <br /> - <br /> ---_ - ----- _= ---'- -_• c ca o;��-ecrlca have selected the practicable method <br /> _e`_`^ �'-- o'e one?hat I <br /> z.:: --_ - ---_- -=_-_ - _ __ _o. _ _ ""ci—.and°,,e enviro-,^e,r,OR.if om o smolt quantify genero�or.I have made <br /> _- =- --== - -J{ _ ••c._-_--o_- _ o.. a ob,e,� _ _ .car c`�orc. All used oil from the generotor listed above <br /> -;Il De - - -- =C -.- — _ _7•--c �- -- - - - V -Tc�...:.%,.�. <br /> c" - - - - _ _ _ _ __ _ D OR c'cci.-v-,at is repwred tc ccmpiy witn Federal regulations applicable to the <br /> __ - -. vere hos been dsclosea. '-z cus'omer agrees to pay reasonable costs and attorney <br /> ee` _ _ = c = - -=s= _ -- - declere under oeral of peru Ihat'he for oin is true and correct. <br /> DISPOSAL/RECYCLING rACiLIr: -Collection Station I Industrial ^Agriculture Government Marine Other I IndusMal Lubrlcdtin8 <br /> Oil <br /> vu <br /> ! kn ees Ver Jae i:'C'wee.a.kc-LALIS I I Yraan Pant Recychrtg the ( ]Bib Sky F-ccti=.uW I )GEM of Ranct o Cordon MC Em S,a <br /> ..' z•±i�i.o:c �Ib6'e2;:h3.i�c 4tS1 VGnkrs Steel 401 W.Chamel Road f f855Mite flock Road <br /> « ' rlm+ CA 9EF16 3 McCsell G 9ESrQ Be6cik CA 94510 5 Rrmho Codon,CA 95742 <br /> tlE�s' :JL AS9NC11G "J 6 W SE24AM74 31651351 CAi wxM196 510.511.212? CAL 16 9 916351-0990 CA M 884183 <br /> Punt Na Generators Signa re ri el's nature <br /> 7reb i that I have re a have the authori to bind thea ve listed enerator to the trm rev rse sic of chi form. <br /> 99DUI SDAS A H AA0WHHJ 66V£8VVLOLT XHd LZ:9T TTOZ/ZZ/80 <br />