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AN I <br /> REAR 2 0 1091 � <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> 4 <br /> Evergreen Environmental Services Inc.dha IVOICE 0051 6 3N <br /> w/�/ 6880 SU. WASTE1 <br /> AVENUE CALIFORNIA 94560 ANIFEST <br /> { (415) 795-4426 <br /> EPA NO.GAD 9132413262_ 1^, <br /> - Fl Mgrnl;rr nt thn FvrrgrCnn Grnrrp o(Companics. 1 V - <br /> lJedic. Ir>Hhq r'roter-tinn of the Environment uu ' <br /> DATE .�C�/ 19 l�l f <br /> PHONE <br /> ,. <br /> T <br /> — ZIP �--�r CUST# __ <br /> MATERIAL APPROX. GAL- PRICE AMOUNT. R <br /> WASTE OILS COMBUSTIBLE LIOUID NA1270 - I <br /> TSDF_EVERGRF_EN <br /> 613130 SMI11i AVF.,3 <br /> NEWARK, CA 94560 CAD 9808117418 TOTAL <br /> I CFRI'IFY THAT-i-I JE AMOUNTS SHOWN ABOVE TO BE CORRECT AND THAT, <br /> -PAYMENT DUE " UNLESS OPTEPWISE NOTEO.THE MATERIAL{S USED OIL.I ALSO CERTIFY <br /> _TNAT I HAvE P NDI f TIONS ON THE <br /> ��y '. _IN 7 DAYS REVERSE SI4?F{ - l!UNDEPSTAND LA AC ''PT THF <br /> V } <br /> r <br /> SI TURF OF DRIVER -_ _-- _ <br /> $IG <br /> &faii{_'.Otl]r WIIll Payn7!?71t Tt1RF OF GENERATOR <br /> 3 <br /> r <br /> { <br /> . 0. . <br />