Laserfiche WebLink
FREMOU E1�VIRONMENTAL SERVICES, INC. <br /> Fran: t•,: Phone: g �I ��9-=_ EPA CD=CAR0001.i01� � " <br /> P.O. Bo. :• P= t.s.D.o.r.- 148466" INVOICE # <br /> ac3�Me. Ca 45696-_8-5Fai: -3S-3;99 D.T.S.C.=3544 Date Z <br /> ti.cem CA 274461 <br /> _»oEss Brannon Tire BILLING/MAILING ABrannon Tire <br /> Customer Customer <br /> 4905 Claremo t Avenue P.O. Box 1988 <br /> Stockton, CA 9 207 Stockton, CA 95201 <br /> E.P.A. CAL 000196 538 Phone <br /> Additional Contacts: 209 77-9000 <br /> Mike <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> • - 3� d5 6� 9^, .Be 365 W WASTE i MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> arrec s> :;asonre --1tese =Aer; N/A. <br /> 6as;e SW ;I(51` 4&` A M60.7 0RCI D M I I o., 1 <br /> Vaceta ;.atex :'air?t; N/A <br /> =.P-z!ea Va*erra+s 03VD0011 <br /> ,vacs=:a -alr__ � N S'Ga<o". ell)3.:iN1943.I! 3/D04 <br /> Nor:R C R azardous Yeast e Lt41.Jtd(Braxe Fick, CA 343 <br /> ; = --�c► car ._.Amy, a :, _ : 31/D001 <br /> C DL title� . N C S . NA.1993 til ;►+ m Oil) 411F002 <br /> 343 <br /> z _ -'ce Rernove = 'A, 'A2 5g ZI 1.Og J 159❑w-"kf 559 Za P F <br /> -es-:1 -as ZI =C;' :3 Generator Knowledge ❑ PPM <br /> ck I^-,e1Add' iona' Labor/LAB P cking/Site Cleaning <br /> Cleo Y Lobes V Oii A/F I UOF p Oily Debris O <br /> )12— <br /> SERVICES <br /> SERVICES REQUESTED BY TAX 44 .3-7 <br /> We <br /> Acce t P. O• TOTAL CHARGES: <br /> GENERATOR'S CERTIFICATION: -___ _._=e e=_ _-- _c[ -^.2^•=•e ._ ____. -a•e,cesc^cec aocve oy oroper snipeing name and are classified,packed,marked,and <br /> ___ 2=-3. __ - a^a^c.ao.e"—w• •ezu'cne,s. ifl am.o large quantity generator.I certify that I <br /> _-- - - - _-=_ - •_- =_ _ _ •_ _-_-_-_- - -e= ___ _ _z_---et—t c=e eccrs-tccIv precr-cable Ord that I hove selected the practicable method <br /> _ --- _ - -e = - - __ -e=_-_ _ __ r _ _ _^nor=!',=-a w^e env:rorment:OR.if I am a smo0 quantity generator.I hove made <br /> __ - - -_ _.a:> __ _ -_ e ec _- _ _- - _ - - hoc-c _a 'cb e-ore c-c'—or'ca^cfforc. All used 00 from the generator listed above <br /> _ <br /> - _ = __ OR- _r v r a-:s rec;:reo to comply with"Federal regulations applicable to the <br /> --=es.ee-c°sdosec. 'r,e cus±omer agrees to pay reasonable costs and attorney <br /> -- __ -5- c - -cre�,deroenaltyot oenury that the for ing is true and correct. <br /> DISPOSAURECYCLING FACILrTY: Collection Station` Industrial- Agriculture I Government I Marine Other I Industrial Lubricating <br /> ..tin harbonerr.tae ;r er.u:x- a I ! sroF.ra. ✓::rc _ on <br /> J tg onmrnzam <br /> 'Fi �•`3�-: u6t r'ad3rk 1-8811W!E-5 p'" e01 W.Ctu®e1 P.oaL ItB551Yh16e Rock Road <br /> =a' .C?9ti6t5 -s wc;eia'c. 4 B®aiCA445105 RanchoCado.a,CA967r2 <br /> 91651 0.511.2128 CA 0000301 51635111980 CADSW88083 <br /> I I PI 5 IGLU'�i� <br /> /PTIflt NameDrilvors <br /> Signature at i have av299: t natureoboei nof terms-0 <br /> side of This form. <br /> 990/ZSO[1 ONI SOAS ANH M110NMA 66VCRVVLOLT XVA RZ:9T TTOZ/ZZ/90 <br />