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EVERGREEN <br /> A DIVISION OF CALIFORNIA OIL RECYCLERS, INC. <br /> ENVIRONMENTAL - <br />'''' SERVICES INVOICE 234141 <br /> 6880 SMITH AVE., NEWARK, CA 94560 <br /> (800) 972-5284 EPA ID# CAD980695761 0 <br /> JOB LOCATION BILLING INFORMATION DA 7 z <br /> C NAME NAME P O. <br /> V <br /> T <br /> ADDRESS ADDRESS CUSTOMER NO. <br /> M CITY ST ZIP CO CITY STATE 21P CO PHO14E NO. <br /> di <br /> d4 <br /> PLEASE PAY FROM THIS INVOICTERMS: NET 7 DAYS <br /> PRODUCTtz� MANIFEST # GALLONS PRICE AMOUNT <br /> WASTE PETROLEUM OILS COMBUSTIBLE I 106MAToc, <br /> WASTE ANTIFREEZE NONCOMBUSTIBLE LIQUID UN1132 <br /> HAZARDOUS WASTE LIQUID ORM-E UN9189 t3p <br /> WASTE OIL WITH >1000 PPM HALOGENS NA1270 <br /> OTHER: 0 .all <br /> TSDF EVERGREEN OIL, INC. (415) 795-4400 TOT HARGES ��t7fl <br /> 6880 Smith Ave EPA I # CAD980897418 <br /> Newark, CA <br /> I CERTIFY THAT THE ABOVE AMOUNTS AND INFORMATION TO BE CORRECT. <br /> DRIVER ROUTE # DR R SIGNATURE GENERATOR'S SIGNATURE- <br /> I <br />