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Fax Server 82015 4:01 : 05 PM PAGE 16/046 Faxp�RwV`I �I EC <br /> ^qtr ®® AUG 06 20/15 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> NON-HAZARDOUS GenamloraD3 PA ID No. _NVI��IMENTAL <br /> WASTE MANIFEST Q)A 0 <br /> Document Na NH 9'748 <br /> 9G SN ma^?IAmYg.Atld`ressof 1 <br /> Ir t <br /> 91 to t Qrcorn Grace <br /> ` oc Cu Szo% <br /> '4.Geneaapes Phore - 8-3-1 30 <br /> STrarupprter 1 Company Nana 6. US EPA ID Number <br /> EVERGREEN ENVIRONMENTAL SERVICES A ft a 'tneportMe ID <br /> Tmneporler2 CamPaM Neme 6 CAD982413262 B.Tmr�eporleri Phone 510 795-44M <br /> US EPA ID Number C.Slater <br /> arrsporterY ID <br /> 9.DaslanetedFeclpyName eril SNe.Adtlrees D,Tnampodar2 Pham <br /> to. US:FPA IDNumber E.StetePecWtya.ID <br /> EVERGREEN OIL,INC. <br /> 6880 Smith Avenue F,FX11W9 phone <br /> Newark CA 94580 <br /> 11,VNSTE DESCAIPfION CAD960887416 510795-0400 <br /> 12.Cona6lam 13. 14. <br /> Total Unk <br /> a. No. Type Duwlty MjvbL <br /> Non-Hawdous waste,liquid <br /> E b. 001 TT G <br /> N <br /> E <br /> R p. <br /> A <br /> T <br /> 0 <br /> R'a. <br /> W <br /> F <br /> H <br /> Q- O:Artlltlalal'oespdpaona br NeaHeb Listed Above <br /> H.Hand'hV Cedes brwasWs Doled Abpvs <br /> Q f� <br /> e' <br /> c'+ <br /> iS Sperlal HadJrg.trrealiclbnaand AddltlonellMpmnaywn �'. <br /> p� i9rofile# Invdce•1.0 O C-I C>70t+a <br /> IDomot�ingest Sales Order. <br /> ng <br /> :Cese�of-9r9GMYOtGctivo �CSII:'CHEMTREC'800.424-9s00 <br /> i1B:GInEpNmEpReArTOBS'CEn7FI <br /> cotlon brtreO:TN a�tenystleptl otl' W � elad as ereneub7alldranwafe eguiayores(�eclgL. y F <br /> j' <br /> f <br /> Prlrrad wk Name <br /> SlgcaNre Dale - <br /> ' Day Year <br /> T /2 /2 /2 <br /> R' Pdhty <br /> ed/r edl <br /> p- ame��`I,^� Sl�a Monty Day Yaar <br /> 0 YI /z / <br /> T PftgCPYpad'.Name <br /> E Sgabre <br /> R 19.Di - Moafh Day Year <br /> F screpancy Intlicatlort SDece <br /> A <br /> L 20.PerJRly pymer or Opagoc Cerdpwdon of receipt pl the uresis maartais covered by HIS manl <br /> lest. ,,,pt w M.m lam 19. <br /> T <br />