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EVERGREEN <br /> ENVIRONMENTAL A DIVISION OF CALIFORNIA OIL RECYCLERS, INC. <br /> SERVICES INVOICE <br /> 6880 SMITH AVE., NEWARK, CA 94560 <br /> (800) 972-5284 EPA ID# CAD980695761 <br /> JOB LOCATION BILLING INFORMATIONDATE:/y/1" 7 <br /> C NAME NAME <br /> O. <br /> U P. <br /> S ADDRESS ADDRESS <br /> T CUSTOMER NO. <br /> M L l `J- ': <br /> E CITY STAT ZIP t CO CITY STATE ZIP CO PHONE NO. <br /> my r-rl()m 1111,q 11001141F Wl lnRf;. r Ir,-r 7I�n <br /> PRODUCT Vii, , �'�4_ MANIFEST # GALLONS PRICE AMOUNT <br /> WASTE PETROLEUM OILS COMBUSTIBLE LIQUID NA1270 7 T 1 7 <br /> WASTE ANTIFREEZE NONCOMBUSTIBLE LIQUID UN1132 <br /> HAZARDOUS WASTE LIQUID ORM-E UN9189 <br /> WASTE OIL WITH >1000 PPM HALOGENS NA 1270 �` <br /> OTHER: -t �'t ' <br /> TSDF EVERGREEN OIL,•INC. (415) 795-4400 <br /> .. TOTAL CHARGES,) <br /> 6880 Smith Ave EPA ID,# CAD980887 <br /> Newark, CA "a <br /> _ I CERTIFY THAT THE ABOVE AMOUNTS AND INFORMATION TO BE CORRECT. <br /> DRIVER ROUTE # DRIVER SIGNATURE GENERATOR'S SIGNATURE <br />