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FRE MOC F' A"IRONMENTAL S#RVICES, INC. <br /> EPA iD=CAt2000 i"i 0 <br /> P.O. Bn� 'F'; r_` e. '_ : __-}r; t-.S.D.0.T = i4i<466- INVOICE # 2 8 5 7 5 <br /> CA = 74461 Date <br /> SITE A'✓' FESS BILLING/MAILING ADDRESS <br /> Customer Aran nn Tira _ _ Customer $rannon Tire <br /> 4905 Claremo t Avenue P.O. Box 1988 <br /> Stockton, CA 9 207 / Stockton, CA 95201 <br /> E.P.A. a --� 000 1. Phone <br /> Additional Contacts: 209 77-9000 <br /> AAi_ke <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 7 'z 2; • 30 • e5 • 60 90 • 180 • 365 �OAITE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> DE <br /> r ©O �S <br /> CA 223 <br /> WA 55.00 <br /> CA 223 <br /> Parts Washer SeNce iCA M <br /> I <br /> Nor-RCRA Hazardous Waste Ljui Brake Fluid <br /> E•–c-. _ _ - _ - _ _:e a =� 5? :J Z1 3 D 5 5 g ❑ S P <br /> _4S '"0CKina;Site Meaning <br /> JCV,,A Oily Debris(JGi-rp� <br /> SERVICES REQUESTED By TAX .00 <br /> GActe M *-- 111 ® I ° C. = TOTAL CHARGES: <br /> GENERA'ORS Z:Ec-•CA-':;c <br /> -g^ante and cre classified.packed.marked,and <br /> :41Corpe a:.entiy generator.I certify that l <br /> czo;e and"a'!nave selected the practicable method <br /> - —o smof!quantity generator.l have trade <br /> used o!:from the generator listed above <br /> _ OR .,^ ,:tii`��ederc� Pg;;;pfons applicable to the <br /> -• -= cec e-c: c`ne -re`or oin is true and correct. <br /> FCSA cC Cliff' =nC_`- ',!o Soo^JtCtiOr 1 c'rAa;OultureGovernm9nt I ;�larine Other I Ind serial OI! n9 <br /> [ 1l 1 c , )c'�'4reer 04,he <br /> I I Clean Harbors San Jose LLC [ J Ehg Sky Environmental [ 121st Centtny EMI <br /> W aapi Kid it oiAAf Mme Ave u[i Berroma hose 4ui 6arx,ei Road A35 Newrtar>dv Dr.,Earl <br /> 1S 2 CA 345co San.lose,CA 96135 4 Benicia,CA Miu 5 femley,NV aG G <br /> ' J D �'�': :•sC CAD 'a 13 - 4x-444,.M C:3 Cb449d310 51051-2128 CALOOQt01639 <br /> 775-�2780 Nva 990855338 <br /> PrinT Name Generators Signature Driverufgnature <br /> I hereby certify that I have read an have the authority to bind the above listed generator to the terms on the reverse side of this form <br /> 990/9901p1 ONI SOAS ANH KnOKHMA 66b£8bbL0LT YVA 6Z:9T TTOZ/ZZ/80 <br />