Laserfiche WebLink
AR <br />Evergreen EnvirAnental Services <br />Containerized Services <br />dedicated to the protection of the environment <br />To schedule a pickup, call Send payment to: <br />800-596-9455 Evergreen Oil Inc. <br />Sales Order # AV5 55poma <br />6880 Smith Ave., Newark, CA EPA# CAD982413262 Dept. LA 23234 <br />16540 S. San Pedro St., Carson, CA EPA# CAD982413262 Pasadena, CA 91185-3234 Date: <br />GENERATORIJOB LOCATION BILLING INFORMATION <br />.7-17- 1 r1001 <br />NWE <br />QUANTITY UNITS PRICE AMOUNT <br />NAME <br />CASH [-] CHECK <br />Waste Paint Related (Flammables oil based) <br />�L <br />Waste Paint Related (Flammables oil based) <br /># <br />ADDRESS /7 <br />ADDRESS <br />CUSTOMER CODE NO. <br />A9 J'• - <br />Waste Corrosive Liquids, n.o.s. <br />Waste Flammable Liquids, n.o.s. <br />d� <br />CITY ST TE <br />Z <br />IP CO. <br />CITY <br />STATE ZIP CO. <br />P # <br />PHONE O. <br />Waste Toxic Liquids or Solids (Class 9) <br />PHONE NO. <br />Waste Oxidizing Liquids or Solids <br />PROFILE NO. <br />CUSTOMER EPA ID NO. <br />r5;, , <br />Empty Drums <br />( ) <br />Non Hazardous Water <br />Non Hazardous Water <br />PRODUCT WASTE MANIFEST <br />CODE NUMBER <br />rtif <br />QUANTITY UNITS PRICE AMOUNT <br />Waste Latex Paint (Non-RCRA) <br />Waste Latex Paint (Non-RCRA) <br />Waste Paint Related (Flammables oil based) <br />�L <br />Waste Paint Related (Flammables oil based) <br />Waste Aerosols Cans <br />Non-RCRA Hazardous Waste, Solid (Soil, <br />Debris contaminated with petroleum h drocarbons <br />Non-RCRA Hazardous Waste, Solid (Soil, <br />Debris contaminated with petroleum hydrocarbons) <br />Waste Corrosive Liquids, n.o.s. <br />Waste Flammable Liquids, n.o.s. <br />oe <br />Waste Flammable Liquids, n.o.s. <br />Non-RCRA Hazardous Waste, Liquid <br />Non-RCRA Hazardous Waste, Liquid <br />Waste Toxic Liquids or Solids (Class 9) <br />Waste Oxidizing Liquids or Solids <br />Drained Used Oil Filters <br />Empty Drums <br />Non Hazardous Water <br />Non Hazardous Water <br />Non Hazardous Solids <br />Non Hazardous Solids <br />Glycol Bulk 50/50 <br />Glycol Bulk Conc. <br />P <br />e s <br />TSDF <br />V Evergreen Oil, Inc. ❑ SA Recycling ❑ <br />I/S� 6880 Smith Ave. 33210 WeSW. F] <br />Newark, CA 94560 Union City, CA 94587 <br />CAD980887418 CAL000344530 <br />Source: ❑ Collection Station ❑ Government <br />❑ Marine (jAgricultural Ll Industrial <br />TOTAL CHARGES <br />Generator certifies that it has established a program to reduce the volume of <br />quantity & toxicity of the hazardous waste to the degree determined by <br />generator to be economically practicable. <br />I h th t I h h <br />Retain Sample # <br />eretl - ce y a ave reamand ave the authority to <br />bind the above listed generator to the terms on the reverse <br />side of this form. <br />IMPORTANT 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 be <br />transported to a facility that is required to comply with federal regulations applicable to management 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 are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those requirements. <br />These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances for <br />closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards <br />and not t tringent quire nts. This notification is for information purposes only. <br />T..___.._[�__�_4___ T_'__a AT_-___ T___a_ 1[ T_._ /'.. _ t !�• r .ter n . <br />