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JAN-26-98 11 :50 AN E F MITCHLER CO 2099488940 P. 04 <br /> Evergreen Environmental Services S•ee7Fd /�e7 <br /> dedicated to the yrat¢rrtan of Uro nnirtnrmrnl Bill of Lading/ irwoiee <br /> To schedule a pickup,call Send payment to: 659106 <br /> 800-872-5284 Evergrmn INVOICE <br /> P.O.Hoz 49065 <br /> 7200 Central Ave.,Newark, CA EPA#CAD902413202 Syn JoseCA 95161�N65 <br /> 10712 Varn ,On Ave.,Onlario CA EPA*CALOOD027724 <br /> JOB LOCATION BILLING INFORMATION <br /> N.1\1H f'v511 ❑ CHhCAI`I <br /> .V)IntFtiB C us'I'O.1I1'RCCp)E\tl. <br /> � / Ayy/da�7 0o e Ci�lcv � mi <br /> Cfll-� STATE. LIP Cb CI_fj�, STAR: ilP CU 14)" <br /> PIRINF..110 PIMM"Nt1. I (PROFILE.NO. CUS'I'UMEREPAR)NO. <br /> Y C_ I ) --1 <br /> PRODIYT WASTE MANIFEST QUANTITY UNITS PRICE AMOUNT <br /> CODE. NUMHER <br /> i'sv ail.SawRITA ll:vanh±IW Lutxl<atIM 0.1221 lial <br /> N'six.Liquid ldustrial CAM (i+tl <br /> 1's¢d:Wlomane:Nlifrxte.Y.m-RC'R.tlJ.vardous C'A LN (lel <br /> NAaste.L,q d . <br /> RllM"v Piwl,sm(NI NO C'ornferstible liquid I'\ CA 211 (ial <br /> 1274)III (til c, u iraal•d wth halo•<rm _ HDI lon <br /> OilA A'aly\<arRC'N.\lfaianlnis R'aa..liquid CVII Cial-" <br /> A•en,Solids mrd Shdws (tnl <br /> Wash-out TAT--•--- ._—_....'— T �__ _._ .._ <br /> Ikaimd 11a1 Uil Pihcr` Ileum <br /> Sm-RC'R.51Iu.•ard m.1k.,w S.li&,(M., &-hris) - CA 223 <br /> I„rrt•Diurlu ...�.-_ —.. Rum <br /> Ore <br /> n1lIT __.iu �� 4 yPU <br /> r <br /> 70x1 <br /> (hhar. <br /> 'IFS'I' RI.SR 0 FAIT. PPIA Test <br /> ❑Co1luii.m sIDti,m ❑.ty^rrcuhnrnl Soury NET 7 DAYS TOTAL <br /> ❑Cunenunenr Snorer ❑htdusirial Srauue /"r Gti <br /> ❑\,nvcsau v CHARGE, J <br /> Accounting Office 510.795-4400 Please Pay From This Invoice <br /> TS F: Evergreen Oil, Inc. I h4)i,. rastif, that as intormmim wbmined in this and all attach+# dwmnarh <br /> 6860 Sm Ih Avenue nM.i. true o-A wvrn4 d cri Ptirms of 11tr ..W. .ill relnent iN'"Utiun <br /> o,gar,fing hramn or soup ted hara.db as.,,cialcd whh dss.aa.w has b<ea dis.lwd. <br /> Newark,CA 945560 Ih 140h,7 xt .as notdlcatwe that the abler liquid wastes an hao wl hvm hid <br /> EPA#CAD960887418 Jiynssal pv oant tn'fitle 22 Sa9ioa 66269.7(a K14)). 1 also a 1 wLd}J the I haw <br /> J �s // read and ate.+,:r.,rtr rte...,.m d,e re.ene rib orduv tote.. <br /> Dinwill ROUTE ff IVER SIGNATURE GENERATOR'S SIGNATURE PRINT NAME <br />