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1187 VANDERBILT CIR. #2 <br /> a AL NIA COOLANT SERVICE MANTECA, CA 95337 <br /> Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> Transporter EPA#CAR000047167 FAX: 209-239-6316 <br /> SERVICE ORDER: 45266 <br /> Customer <br /> rehnon Tire (GRYKHE991286 00000 MANIFEST# - <br /> 905 Claremont Ave /Marsh L ne <br /> oddon, CA 85207 <br /> 09-477-9000 <br /> PA#C:AAL 000 106 030 Cuato eF0 1260 Contact; Charles Baker Terms, Net 30 RRp: Louie Machado <br /> �;ODE DESCRIPTION <br /> 150 Prestone-Prime 4/50 A/F <br /> 50 Waeste Arititreeze Pick Up <br /> Tank Serial Numbers: Non Taxable Sub Total <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE <br /> WASTE DISPOSAL INFORMATION <br /> :1 NON-RCRA HAZARDOUS WASTE,LIO ID(OILY WATER)-NO PLACARDS REQUIRED- STATE CODE 221 <br /> NON-RCRA HAZARDOUS WASTE,LID ID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED- STATE CODE 134 <br /> ❑ OTHER: <br /> ❑ DESIGNATEDTSDF: <br /> ❑ DEMENNO/KERDOON: 2000 N.Al;meda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> ❑ D/K DIXON: 7300 Chevron Way•D xon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑ RAMOS ENVIRONMENTAL: 1515 .River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> /] NU-SET INDUSTRIES: 977 South 7 0 West•Salt Lake City,UT 84104•UTD982589459•(801)977-0220 <br /> ❑ ALTERNATE TSDF: <br /> ❑ CFR: 33210 Western Avenue•Union City CA 94587•(510)487-9277 <br /> All Generators/Customers MUST read the following text.) <br /> If I am a large quantity generator,I certify that I h ve a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br /> practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimize the present and future threat to human <br /> life and the environment; Or,if I am a small qua itity generator,I have made a good faith to minimize my waste generation and select the best waste management method that <br /> is available to me that I can afford. <br /> 'I HEREBY CERTIFY THAT I HAVE NOT MIXED T IS WASTE WITH ANY OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.;AND THAT THE WASTE DOES <br /> NOT CONTAIN ANY P.C.B'S. <br /> '1 FURTHER AGRE TO ACC THE ADDIT N L CHARGES FOR LEGAZDIS SAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES,OR CONTAINS ANY P .B'S <br /> Customer Sig re Date gnature Date <br /> rm ame Print Driver's Name <br /> All returned checks are subject to a$15.00 Service Charge. <br /> Allamounts not paid wit in 30 days of invoice are subject to 1 1/29,o interest per month,18%annually on unpaid balance. <br />