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WORK ORDERISERVICE AGREEMENT <br /> Evergreen Environmental Services N° 160931 <br /> dM&'dfed to As proeactlon of the environment <br /> To schedule a pickup, call Send payment to: Sales Order# <br /> 800-972-5284 Evergeen On,Inc. <br /> 6800 8mM Ave.,Newmk,CA EPA►CADew41 x282 Dept. 2437 <br /> 166W 9.Ben Pedro 8t.,Carson,CA EPA#CAD982413262 Los Angeles, CA 900842457 Date: i I 151-01 <br /> GE UMATORIJOB LOCATION BILLING INFORMATION <br /> N 'NAME CASH❑CHECK❑ <br /> t� <br /> kE555 ` ADDRESS C TO CODE NO. <br /> CI'T'Y (••� STATE ZIP O. CITY STATE Z!P CO. PO ' <br /> ur�e., �7 ati. <br /> ONE PHONE NO. PROFILE NO. CUSTOMER EPA ID NO. <br /> PRODUCT WA9M MANIFEST <br /> CODE NUMEE[t QUANTITY UNITS PRICE AMOUNT <br /> Used oil,Non-RCRA Hazardom Lubricating CA221 p10 <br /> Waste,Lkpdo Industrial CA221 Gal. <br /> quarim CA134 GaL <br /> ea wouc 0mbu W Ligi,414 o.M <br /> lamm 't ennnoiM�F.i wainlOD <br /> 00&Water.Non-RCRA Hazardous route Liquid CA221 Gal, <br /> Wasta Saltie and Sludges GaL <br /> waab Out PscL <br /> Drained Used OA Irllteta Drum <br /> Non-RCRA Hazardous Waste SoW(oily debtle) CA223 Drum <br /> Empty Drama nn= <br /> Trasepon m if". <br /> Non n!262 Water Gal. <br /> TWP, Cfor D Tech 4000-49%pm ❑aor D 13xh 1000 us❑Fatl ❑ Halogen Daterat ❑rase Elm, .� <br /> Plaid Service work Description: Total Chas es <br /> Other <br /> Otho: <br /> of t S Time r- <br /> Ont of Y Oa Site OR Sife,Olf Load Stmt off'Load End to Yud <br /> 2!L <br /> rgne Consolidated Manifetst <br /> Sv'ergl'een 0A Ioo. ❑ Evmereen RUV,Svc. ❑$139 N,Valentine ❑ N auk Ave. ❑ <br /> 6880 Smith Ave. Road 308 <br /> N4wark.CA 94560 Davis.CA 95926 Fresno,CA 93711 tadusa1ryy�CA 9f745 <br /> CAD980887418 CAD962446874 CAD982446852 FAD000097432 <br /> ❑ Sves en Env. Sv Env.Svc. CPR CAR ❑ Greedem Env.Svc. <br /> 16604 8,San 745 M Etthanvie 944 E.3luson Ave, 33210 Western 3474 Tooyyoa Cir Ie <br /> Caraoa,CA 9 46 Sarda Maria,CA 93494 Loa Avy�ec,CA 90011 Umon City,CA 94587 Valley S CA 99332 <br /> CAIxJ8169 1 CAD982446858 CA1.0IX7110021 CAL000091507 CAL 011@14411 <br /> ane error cerfife that it has established a pro tarn to re&vt the volume or <br /> Swire: Collection Station El GDYernment <br /> quantity&toxicity of the MMdoas warm to the degas determiaed by <br /> ❑Marine ❑ Agricultural ❑ Industrial ganeruor to W comodadly ptaeneabie. <br /> y I berebv artily that I have read and have the authority to <br /> Ret S:3TYt le #_ Z. C. �_ bind the above listed erator to the terms on the revers <br /> P side of this form. <br /> Dtive gnature arae Route# Date Generat>;46ignature Print Nannie Date <br /> E'd BOP'ON SNI 03 1N3WdInO3 W f WkiGG:OI E002'0L'030 <br />