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J • <br /> N272376 <br /> �/// Evergreen Environmental Services 2 7 <br /> 3 Containerized Services <br /> dedicated to the prorection of the enviromnenr �n Z� <br /> To schedule a pickup,call Send payment to: Sales Order# A: Z&7- <br /> 800-596-9455 Evergreen oil.Inc. <br /> 6880 Smith Ave.,Newapk,CA GPA#CAD9824l32(12 Dept.LA,23234 <br /> 16540 S.San P.bo St,Carvra,t A EPA#CAD9824)3262 Pasadena,CA 91185-3234 Date: _ <br /> GENF.RATORMOR LOCATION BILLING INFORMATION <br /> N E r NAME CASH Q CHECK(� <br /> # <br /> RESS ADDRESS CUSTOMER CODE.NO. <br /> CITY e ST E O. CITY STATE 'LIP CO, PO# <br /> HONE.NO. ! PHONE NO. PROFiF.E NO. C STOME EPA ID NO. <br /> XlO <br /> PRODUCT, WASTE MANIFEST QUANTITY UNITS PRICE AMOUNT <br /> CODE NUMBER <br /> Waste Latex Paint(Non-RCRAI <br /> Waste Latex Paint(Non-RCRA) _ <br /> Waste Paint Related(Harnmabks oil based) <br /> Waste Paint Related(Flarnambles oil based) _ <br /> Waste Aerosols Cans <br /> somacRn w�m�m win.+[.linin coli. <br /> N.LRCmu+mi+m+[.IwiM mkvma am['vlxmxl <br /> umRCRA N.nudwu wwve,FuIA(Sint. <br /> [kMisa' iinNWw ,.ileum l+a'ociaxvb') <br /> Waste Corrosive Liquids, <br /> Waste Flammable Liquids,n.o.s. <br /> Watts Flammable Liquids,n.os. __ L <br /> Non-RCR,A HaarJous Wa'te,Liquid <br /> Non-RCRA Hazardous Waste,Liquid <br /> Wasw Toxic Liquids or Solids(Class 9) _ __ _ <br /> Waste Oxidizing Liquid=or Solids <br /> Dmined Used Oil Filters Mar jLa <br /> Empty Drums <br /> Non Hazardous Water _ <br /> Non Hazardous Water <br /> Non Hazardous Solids <br /> Non Hazardous Solids <br /> Glycol Bulk 50150 <br /> Glycol Bulk Conc.-- --� <br /> TOTAL CHARGES <br /> TSDF ( _ <br /> ❑ fiverg sen Oil,lac. SA Recycling f-� <br /> 6880 Smith Ave. 33210 Wcstem E <br /> Newark 98 93560 CAI-0 City.CA 94587 <br /> CAD980887418 CALlXk734d530 <br /> Generator unities that it has established a program to induce the volume or <br /> Source: j Collection Station ❑Government quantity&toxicity of the haurdous waste to the degree dercuumed by <br /> Marine L Agricultural ❑ Industrial ' generator tahe economically practicable. <br /> therrtihy certify that I have read and have[he,ayt mrit <br /> hind_the oho a tilted g_en ator to the erms_nn[he revere <br /> Retain sample#_____—__ --___—_ side ae ml5`ate <br /> UNIPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br /> Per California Health and Safety Code Section 25250.9,Evergreen hereby advises customer that customer's shipment of used oil may he <br /> transported to a facility that is required to comply with federal regulations applicable to manaaernent of used oil-but that is not required to <br /> comply with the more stringent requirements applicable to hazardous waste management Facilities.California facilities that handle or process used <br /> oil areinquired t se more stringent requirements,and some out-cif-state facilities that process used oil also meet those requirements. <br /> These ins more luring m leak lets ion and pmcention reyuiromcnts,engineering ceititications of tank integrity,and financial assurances for <br /> closu nd accidental rel ase'.[ a Ful to send used oil to out-of-stare facilities that comply only with federal used oil management stand <br /> :m tot these more stria ❑t r rite nts.This notification is for information purposes only. <br /> r <br /> _ zz �b � / <br />