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en Environmental Services <br /> ORDER/SERVICE AG�EMEIVI <br /> dsdicnted to the protection o rvice$ <br /> o' -- To Scheduleft"environment ' <br /> oapickuP,call �;�t ����� <br /> 800-972-5284 send payment t°: <br /> 8880 Smith Ave..Newark, CAD98241 tea. <br /> 16$40 S.San Fedto sy CA EPA# 3262 Evergreen Oil,Inc. Saks Order <br /> ENC'".CA EPA4 CAD982413262 Los qn Oft'2457 <br /> TOR/JOB LOCATION <br /> N EBILLI$el�CA X84'2457 <br /> IY67NFOR ATION Date <br /> Cl�. 15'- "'""' °�1 `l�J�i ADDR • - '""" CASH CO. C # EJ❑-CHECK <br /> _ .+� <br /> STA.r,s-;J IP �✓ G+' - M CODE <br /> ST E . O: <br /> gC} <br /> .. PHONE No. <br /> PROFILE NO. <br /> PRODUCTf US OMEREPA Ip <br /> WASTE MANIFEST <br /> UscdOil,NII RCRAn CODE NUMBER QUA <br /> NTIT ' } <br /> ' OLLC Lubricating CA 221 Y UNITS PRICE Waste,Liquid AMOUNT <br /> ,� Anon. .Non.a(•a,�N.,,,� Industrial CA221 Gar. - <br /> a0w..Ic °°b1su 0 CA 134 <br /> 1991 III^il�nnmmine�xiNIW.a NA Gal. <br /> Oil&Watt,Non-RCRq N � i <br /> nooz GaI <br /> Waste Solids and Sludges ��Waste Liquid CA221Gal. <br /> _ . <br /> Wash Out fh <br /> Gal. V <br /> rn <br /> UraigFd Used Oil Filters cal. <br /> Nonty H as, <br /> Waste Solids(oily debris) CA223 <br /> Empty Dnnns r <br /> Trarapprtarion - Drum . <br /> Non Hazardous Water Drum <br /> TEST:❑Clor D Tech 4000urs, <br /> Field Service Work ____Ppm ❑CIm D Tech I owx„ Gal. <br /> Description: ❑Pass❑Fail ❑Halogen - .. <br /> Other. - Uete°tor/Flume Test ❑Pass ❑Fail <br /> other: Tow C <br /> num Services Time - <br /> Out of vard <br /> On Site—he off Site <br /> offload Stan <br /> —�off Load End <br /> Evergreen Oil,Inc. - CDnSO _Return to Yard <br /> 6880 Smith Ave.- Evergreen Env.Svc.. itdated 1�'Iallifest <br /> Newark,CA 94560 Road,CA Evergreen Env.Sroc. <br /> CADreen Env S Davis,C4 95926 4193 N.Valentine Ej AJS Fiiter <br /> CAD9824 U74 Fresno CA 93711 15131 Clark Ave.. <br /> n Evergreen Env Svc. ❑ EvergreenCAD982446882 Industry,CA 91745 'T - <br /> �1 16604 S.San Pedro 4Env.S,c. CFR CA�0097432 .+'7 <br /> CAD9816990746 Santa West Eetterava ❑ <br /> 96920 CAp9g2446CA 858 93454 Los E Angeles, <br /> CFR. I�(' <br /> Source: A 90011 33210 Western L1 Cr n ea E .S <br /> �CDllectlq3474 T, <br /> CAL00011002I CAnt L0009150794587 Val1eYS-yon <br /> rinCRck <br /> I Station <br /> ❑Marine 4grici oGOe etrial quanifator certifihed <br /> �of the hhala CALas 0002141 gs.CA 90352 the vol <br /> Indus genera o oto be cern waste to them reduce <br /> Wain S rlomicell gree dete u'^e or <br /> ,,ample# Ihereb ertif that►YPrachcabk. determined <br /> bind the above list have read and hav <br /> / ed eneratorto etheaut ori t <br /> ,y side of�m the terms on the <br /> reverse <br /> ;ver Sianature -l' a, <br /> Print Name <br /> Routh Date > �. _ .tr,. <br /> Gencl brs Signature r 4 -E,? <br /> W Print Name Date <br /> 022A(1/99) <br /> )0-22 <br /> Blue: r'PK'. r.-.. __ <br />