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1187 VANDERBILT CIR. #2 <br /> f CALIFORNIA COOLANT SERVICE �� MANTECA, CA 95337 <br /> OFFICE: 209-239-5587 <br /> - "Your California Antifreeze Service Company \ FAX: 209-239-6316 <br /> Transporter EPA#CAR000047167 <br /> SERVICE ORDER: 51004 <br /> FM ii i I = - - - - M <br /> MANIFEST# <br /> rannon Tire (SRYKHE99128 5400003) <br /> 905 Claremont Aare.f Marsh 6.sne <br /> oddon,CA 95207 <br /> 0977-9000 <br /> PA*CAL 000 198 530 Cu omer#: 1280 Contacti Charles Baker Terms_ Net 30 Rtp: Louis Machado• <br /> • <br /> 50 Preston-Prim 30/30 Alf <br /> 50 Waste Ardi"sz Pick Up <br /> Tank Serial Numbers: Non Taxable Sub Total <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DU x <br /> WASTE DISPOSAL INFORMATION STATE CODE 221 <br /> J NON=RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OIL)'NO PLACARDS REQUIRED` / <br /> STATODE 1 ' <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED' <br /> J OTHER: <br /> J DESIGNATEDTSDF: <br /> J BANGO OIL,LLC: 22211 Be o Road•Fallen,NV 89406•NVR000080655 (775)852-2295 <br /> J D/K DIXON: 7300 Chevron W y•Dixon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑ RAMOS ENVIRONMENTAL: 515 S.River Road-W Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> NU-SET INDUSTRIES: 977 South 700 West•Salt Lake City,UT 84104 UTD982589459 (801)977-0220 <br /> 419" <br /> J ALTERNATETSDF: <br /> J CFR: 33210 Western Avenue-Unicn City,CA 94587•(510)487-9277 <br /> (All Generators/Customers MUST read the following text.) <br /> a economic <br /> If I am a large quantity av eselected the p acticable method of treatment,atment sto age,or disposin place to reduce the volumea currrently available tto mend toxicity of waste ewhich m n mete the present and future threat to hum lln <br /> practicable and that h <br /> � d faith to minimize my waste generation and select the best waste management method that <br /> life and the environ ant; Or,if I am a sm II quantity generator,I have made a goo <br /> is available t me th t I can afford. <br /> '� •I E Y CE TI THAT I HAVE NOT MI ED THIS WASTE WITH ANY OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.,AND THAT THE WASTE DOES <br /> NO ONTAIN NY P.C.B'S, <br /> 'I FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES,OR-CONTAINS ANY P.C.B'S. <br /> THER GRE TO ACCEPT THE AD ITIONAL CHARGES <br /> Date <br /> ' Custome nature <br /> Date Driver Signat�s' <br /> u <br /> Print Driver's Name <br /> CMYName <br /> All returned checks are subjectto 2%inte est per month,18%annually on unpaid balance. <br /> Allamounts not p id within 30 days of invoice are subject to 1 P <br />