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f_ AUG -02-07 13:46 FROM-Everiireen Oil 5107962559 ,evergreen. Env>« mental t,ervices dedicated to the protection of the environment �/ To schedule a pickup,'Call Send payment to: 800-596-9455 Evergreen Oil, Inc. 6880 Smith Ave.. Newark, CA EPA; CADS82413262 P.O. BOX 30517 16590 S, San Pedro St., Carton. CA EPA# CAD982412262 Los Angcics. CA 90030.0517 1�T17TT ♦TADrT/l7? , nil A'TT"W RTTT _TNG INFORMATION T-189 P.002/002 F-716 Sales Order #o3 Date: 2-- -Z-7 6-1 11L.1V i'il\Y.1 Vlv,l VJJ /yv... raiay. •--^--� NAME CASH [:]CHECK INA, U& Fvergrcen Oil, h1c. 6880 Smith Ave. # .�D REDDRESS A51DDS A CUSTOIVER CODE NO. CI rATE G CO. CITY STATE ZIP CO- PO # industry. CA 91745 CUSTOMER EPA 1D NO. PHONE NO- PRONE NO. PROFILE NO, CADO(10097432 WASTE MANIFEST QUANTITY PRODUCT Q UNITS PRICE AMOUNT CODE NUMBER Used oil, Non-FCRA Hazardous Lubricating CA22( [1� Val• Waste, Liquid Indu_irial CA221 Gal, tr.ed Auun C -t Anu(mac, M-1tCRA H,mroms CA 134 (jal. Wume LI ", r Ko W...,, Caud,u:alE¢ Liquid. t.Lns. NA CA22] 1`001 MY h I J93 III OI' 1. lei wllT to k pit & Warcr. Non•RCRA Hazardous Wage Liquid CA221 Gal. _ Wasrc Solids u,id Sludges Gal. Our Each _Wash Drainr-d Uscd Oil Fillers Drum Non-RCRA Ha ardous Waste Solids (oily debris) CA223 Dmm Empty Drums Dtvro T•anspor mon Iirs. Non 1-laZardous Water Gal. Glycoll3ulk 50/50 Gal, Glycol Sulk Conc. CES Clor D Tech 4 pm ❑ Clor D Tech loo Paas ❑ Fail ❑ Halogen Deleeror/Flamc Test ❑ Pas„ ❑ Fail - Total Charges Field Scrvice Work Dcscriprion: Other: 116. Other: _ Vacuum ServiCCS Time Out of Ysrd. On Sirc Off Site Off Load Start Off Load End _ Return to Yard T SDF Consolidated Manifest �j V,E�J Fvergrcen Oil, h1c. 6880 Smith Ave. ❑ Cvergreeo $nv. Svc. Road 30B ❑ Evergyr, nv. Svc. ❑ 4139 N. Vilemtinc AJS Fillcr ❑ 15131 Clark Ave. Newark, CA 94560 Davis, CA 95616 Fresno. CA 9372 industry. CA 91745 CAD980887a19 CAD982446874 CAn982445882 CADO(10097432 ❑Evergrrcn Em,. Svc.ElEvergreen Fnv. Svc. 1:1CFR ❑ CFR 1:1Grecnlnr Env. Svc. 1o(5(A S. San Pedro 745 A West Beacravia 944 E. Slauson Ave. 33210 W—cm 3474 Toyon Circle Carson, CA 90746 Sams Maria, CA 93454 Los Angeles, CA 90011 Union Cit),, CA 94587 valley Springs, CA 95353 CAD981696420 CAD982446858 CAL000110021 CAL000091507 CAL000214411. GcnefatOr certifies that it has c5rablished a program to reduce the volume or Source: Collection Station ❑ Government quantity & toxiciry ofthe hazardous waste to ncc dcgice determined by Marine ❑ A rlculturaI ❑ f17dustrial generator to be economically practicable. J her certifythat I have- read and have the authority to bind -the above •listed' genei ator to the term§ on the reverse Retain sample # CJ l side or this form. IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. Per California Health and Safety Code Section 25250.9, Evergreen hereby -advises custtrmer that customer's shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of uscd oil, but that is not.rcquircd to - --er>rrrp}y-•wieh-thr.-more-;5trirren[-regttirer»en��agplreQl+lc-to-he�r�caus-wa�ie�aanttgorrtcnFreoi�iT+esrGatikotatierfac�i}i-t3ae-tlre�-11�ttdle�c�-process�,sed oil are required to meet those more stringent requirements, and some 01.11 -of -Starr facjlitieS that process lysed oil also rneet those mquutiments. These include more stringent leak detection and prevention requircmcnls, engineering certifications of tank integrity, and financial assurances for closure and accidcntal releases. It is lawful.to send.used oil to out-of-state facilities that comply only with federal used oil management standard~ and not these more sttj*ent requu-emenls. This notification is for information purposes only.