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APR-08-98 06:24 RM <br /> P. 03 <br /> T <br /> f <br /> Evergreen Environmental ServicesS.o. ,GZ�Jole <br /> J'dr,"T'd ra the ....Ir,lion nJ the rrn innnnr+n Bili OP Lading/Invoice <br /> To schedule a pickup, Call Send Pr)mrnt to: 675110 <br /> 800-972-5284 \vipiv•n INVOICE <br /> 66805ml?IAVC.NCwaI(, CA EPAII CAO`182413262 I'O. Nos 490(5 <br /> 1654011.Snn Pnnm sl.Carson.CA E•.PAN CADVIlQ413262 \:m lu.c.CA 9f 1 fi I Wf s I):dC • .+Z D y� <br /> JOB Idl('A'I'ION <br /> BILLING INFORMATION <br /> W1__---•---__ - 1 <br /> f7 1 lilt I:T`5— <br /> �>uN155 rsY _-: �i� .cam L_� T/otil+t O �i eY°�9 N I <br /> �nUNtcS It sul\u%c��l •.I 1. <br /> /p'io .S int.• �! Z4l(-vcr <br /> CIIY 1'1111. /II' 111 kmETA7l: —r CO V1>n , <br /> r• <br /> TIIU� IAC ... Y�l+---•--�� /OC _ _ ... _ F .- ._p u\L:]Q I•%OPIL1'.NO, ( IINUMLN I�.PM1 IV Nn, 1 <br /> .Q,_.9712 c_L— <br /> PRODu("I WASTE MANIFEST QUAN'ri-ry UNITS PRICE AMOUNT <br /> CODE NUMBER <br /> 221 r;:d <br /> - 1 Lnhca,rd l':\2I1 11.11 <br /> ('.\I14 lid I <br /> Nl ic.1 IywJ <br /> Nlr w.,, U-Oawdfl, I I I N,11\ Nd C,\III (+nl <br /> IIVI+III 1 - :.-n 1 -I I:d.•t,..l H(11 Nn] <br /> � tlllNm wm%('N\111nn Oar.NII. I pnJ ('.1=1 <br /> N+WrS hd.nlJ 5(111.+ 1 YI <br /> N:uh•�n � In 4 <br /> Ikaincd l wel l hl brllys Ik1m+ I <br /> Saekek.l llao-a�.1,•ne�Ca.ic SnhJ.hnk Akhrin) CA 223 Drum ...._--., <br /> Ihsnn <br /> lrnp 11 , 1!0 <br /> _tFhr. /� <br /> ,fd <br /> 1112"+ <br /> I nitir <br /> I <br /> l Alwr. , <br /> tldnl <br /> 1151 ISWc —1 AIL PP\I lwl - <br /> _L. V lIN .- .....-_.— 1 I <br /> l'.di vwl NI4Uw1 wWt1YYl2;oNree umv n <br /> ❑ DANS <br /> / (aw,+.rNrd S+,Nr,u I7 111dltwi.lH.�l � n n ti� 101 �I ; <br /> y MNA Smile, CHARGES J`j I <br /> Accounting Office 714-757-7770 Meow Pay Fran)Phis Invoice <br /> TSDF: Evergreen Oil, Inc. I h.+ch) w•riiFthat All intimnmim wtlrnilkJ in Ihie and all alunhal m.vnlaa. <br /> 6880 Smith Avenue awainv ave and accuf:l4 J Yn(4iwN 4 8w wage All relrnml inhnnutiun <br /> mw(ios\nuwl w wv�5tul harards luwcint•d w I the wvYfe•nor'h.,dne6w.d. <br /> Newark, CA 94560 It it IuNnr w w.as IhdiliY4Glm IhYt he 4hnv it w:V Y.arc hnrmcd Mir Wal <br /> EPA# CA098088741 8 liryvvalllNRYNIth,' Icx2il . 6K7 Blvd Yckln,wldr,+Ilwlln4,e <br /> ICYd mid \ tVll U. s1,Tp. <br /> pRjVER ROU'PF:N IVFR SIGNATURE N R'S SIGNATUR PRINT NAME <br /> I� <br />