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FRE _NJOU ' E• -VIROYMENTAL S45RVICES, INC. <br /> Icr)� P 3%77-n7 �• P`fcne- Q__ 5t9-__.� EPA ID=CAROOO 17101- <br /> P.O. Bo" _SkPhone: -_--148 .' OO [:.S.D.O.T.= 1484667 INVOICE # <br /> acal illc. C a y5646-28-^ FL\: - - i18 :199 D.T.S.C._3544 Date 13 OIL-1 1 <br /> �S-.�z..hazu asLeremo ai.com CA#274461 <br /> S:TE ADDRESSBILLING/MAILING A RES' <br /> Customer Brannon Tire Customer `�rannon Tire <br /> 4905 Claremo t Avenue P.O. Box 1988 <br /> Stockton; CA 9 207 Stockton, CA 95201 <br /> E.P A = CAL 000196 538 <br /> Phone <br /> 209 77-9000 <br /> Additionol Contacts- <br /> �-ke <br /> PRODUCT - JERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> • 2' • 3-- • 45 • 60 • 90 • 180 • 365 W C WASTE ' MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> No^-k„,R �-azardcus Waste Jqui' (Used 'i) f i CA 221 q07 7nK <br /> No,-KCS Hazardous Waste Liqui (Used An4-Freeze) CA 134 Gallons 1-00 g <br /> Ncn-RCCA Hazardous Waste Ljqui ((D+ry Water) CA 223 Gallons <br /> rained Usea a /Gasdine! UierI ers NIA <br /> Non-RCRA Hazardous Waste Sold(Od anided Debris, Soi) ; CA 223 <br /> Farts asner -service CA 223 <br /> Norazar us waste uquilo(Braxe F1U`iT CA 343 <br /> Waste Flammable Laud. N 0 S 3 UN1993. PGII(GasoYne Diesel) $31/D018 <br /> r C o.•M2r oOe.c <br /> - ce Remicve 'A? A2 5g : 'Og ❑ 15g ❑ 30g ❑ 55g ❑ S P F <br /> -e_- C -es- ❑ ass ❑ �:c'` ❑ Ge^erctcr Knowledge 4 PPM /p <br /> �_ccr� C-c ges.'Qcd tick ' `k n,e/Additionc Lebor/ LAB Packing/Site Cleaning <br /> ec ace s O? A/F Nq UOF y ur Z j <br /> Oily Debris '/ O f 2 <br /> SERVICES REQUESTED BY TAX <br /> Acce - P. O. # TOTAL CHARGES: O <br /> GENERA'oR S CEers!CA11CN _ _=___ -_ -- ._-_ - -- _---_--_- =e --_-,=,e _ - =pv 0•oper shipping name and are classified,packed,marked,and <br /> z t z f I or,a forge quantity generator,I certify that I <br /> onC that:have selected the practicable method <br /> . -_el.'o^mer:O�. f I am o small quantity generotor,I hove made <br /> _ _ _ '__ ---- 'vc cc e _ e o-c-c ca-•alto:d. A!l used oil from the generator listed above <br /> -- --- -- - - --------. _ _ _ -__C OR�`:;c a's ec -ec'c ccmp:v wi#h Federcl regulations applicable to the <br /> _ ___ _ ____ _ o-_ __ __- _='ec •'h'- a ccs oee^C sciosec. Tne ojstomer agrees to pay reasonable costs and attorney <br /> oe ;0 0� corny.yaedare under penalty of perjury that the for oin is true and correct. <br /> �1 POS.A_/RECYCL,'`G FAC:Lh: Coll ec n Industrial Agriculture Government Marine Other Industrial L rlcatl <br /> O <br /> S m1 Ar_ '.CC Borryasse Road 401 iM Chamal Road 2430 Ai <br /> mond Detre <br /> ave. aan tee, r33 4 Benicia,CA 9d510 5 Silver 4nngs,CA 89429 <br /> CAL - ` �• d'o uA D 05&JS4310 510-541-212S CAL07Q^s016a9 775579111 M/D 5493 <br /> Roe& <br /> D <br /> P amr3 Generators SignatureDriver's Signature <br /> I h reb cern tat I have read an have the authorityto bin the abovelisted generator to the terms on the rev rse i e this form, <br /> 990/LSO P DNI SDAS ANH MIIOIUHHA 66V£86hLOLT YVA 6Z:9T TTOZ/ZZ/80 <br />