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T CVERGREEN ��. ' �� -�. <br /> ` A DIVISION OF CALIFORNIA OIL RECYCLERS, INC. <br /> ENVIRONMENTAL APR 8 1901 <br /> ENVIRONMENTAL HEALTiNVOiCE 195291 <br /> SERVICES PFR MIT/F,��:RVICU4 <br /> ONO <br /> 6880 SMITH AVE., NEWARK, CA 94560 <br /> (800) 972-5284 -EPA ID# CAD980695761 1 <br /> JOB LOCATION BILLING INFORMATION DATE: I <br /> C NAME NAME P. O. <br /> `S ADDRESS ADDRESS CUSTOMER NO. <br /> T <br /> O LAJ <br /> M CITY STATE ZIP CO CITY STATE ZIP CO PHONE hO. <br /> E <br /> RS qui i <br /> PLEASE PAY FROM THIS INVOICE TERMS: NET 7 DAYS <br /> PRODUCT MANIFEST # GALLONS PRICE AMOUNT <br /> WASTE PETROLEUM OLS COMBUSTIBLE LIQUID NA1270 91 77-dQ I Up <br /> WASTE ANTIFREEZE NONCOMBUSTIBLE LIQUID UN1132 <br /> HAZARDOUS WASTE LIQUID ORM-E UN9189 <br /> WASTE OIL WITH > 1000 PPM HALOGENS <br /> OTHER: <br /> TSDF 'EVERGREEN OIL, INC. (415) 795-4400 TOTA `T t7D <br /> 6880 Smith Ave EPA ID # CAD980897418 CHARGES ' <br /> Newark, GA <br /> I C IFY T THE ABOVE A NTS AND INFORMATION TO BE CORRECT. <br /> win <br /> DRIVER ROUTE S IVE SIGNATURE GENERATOR'S SIGNATURE <br /> AW\lE_ i A copy <br /> DF -Tl4C- SEI FT F() <br /> y� D U P Xl <br /> 14cjav w - Bw\I . 12- <br /> Lo p i , c1A 6)s 24 z <br />