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L��1<9rCrn rxvironmental -Services <br /> dedicated to t/te protection If the environment rk Order <br /> TO schedule a Pickup, F1C O � z-. <br /> „ <br /> ,.,dn of Lading F1 CPO,- :��¢� � <br /> - <br /> 800-596-9455 Send Pa yn.ent to:. <br /> or 510-795-4400 Evergreen Oil Inc" Customers'#'z 1'- - <br /> 6880 Smith Ave.,Newark, CA EPA#CAD982413262Pas Jena, f LA 91185-3234 <br /> 16540 S.San Pedro St.,Carson,CA EPA#CAD982413262 <br /> Pickup Location: ` <br /> Bill To: <br /> Contact: <br /> NOTE <br /> LIl'if NQ. PA <br /> — REQ DATE _ -- PURCHASE ORDERQOE <br /> — ' <br /> I�Rt <br /> oup OIL ROUTE - PROFILE <br /> _ Qua rtlty __.�_ _L c PROFILE �RIMr�L"31 <br /> _ i <br /> - <br /> t- <br /> Roq hlckljp iters 11errlpt!c„ _— <br /> iL7l� _ <br /> A n h {nst Nu. — <br /> l .1 Price Amount <br /> •'1.P8 "'..°.`. J:I-1 Si ..h E.TI r.z.._._ <br /> QQ <br /> n� r1.Ir>fss=' L-.teF+}F �FLi6P i[. t._r — (7Z <br /> -711 <br /> -- <br /> '''• <br /> TSDF <br /> I <br /> I <br /> I <br /> i I I <br /> t <br /> I <br /> I Eve ❑C'O11SO1�IdA <br /> Evergreen Oil„Inc. ❑Evergreen Oil,Inc.•Davis Manifest DSR CHECKLIST:--— <br /> 6880 Smith Are. Road 30B E�`r$1e01 Dd,1nc,•Ftesnc�" <br /> Newark,CA 94560 4139 N.Valentine I_l� _"` — O Tme,n /y) <br /> Davis,CA 95616 ""-�•c-j rmie Gat.�� <br /> ('AD980887418 CAD982446874 Fresno,CA 93.122 �" OTe Dl T PWWp Labeled <br /> CAD982446882 <br /> -1 EvetgnxgEtrv..gvC. ". ~-- C]AoamualhmStartDe,e1,1 Sed <br /> ._.J Evergreen Oil,Inc,go --`• —�---�---.�. <br /> 16604 San Pedro 745 A West Betteravia SA cling --❑Fbuae i eromq-Tan ver:,clean <br /> Catson,CA 90746 Santa Maria, 33210 Western ❑over services che�ar-, I <br /> CAD981696420 CA 93454 Union Ci l' `""o1Nes,OAWti . _ <br /> CAD982446858 t4 3 94587 i0 Callad in oa,e,sevCx rabed0m,C9rg�yp I <br /> CAiA0034453U ^�.S.7Anaiieeue <br /> SOUrCt': ❑Collection Station Generator certifies that it has established a <br /> ❑ ❑Government quantity& has <br /> of the Program to reduce the volume or <br /> ❑Marine Agricultural jnd toxicity hazardous waste to the degree del <br /> ❑ llStrial generator to be economical) g ermined by <br /> I he y Practicable. <br /> `=twin Sample# to bind v certif t t I have read and have the authority <br /> th above li ted__ggngrator to the to <br /> r California Health and Safety Code IMPORTANT <br /> 252 NOT-1 <br /> �EeREG hereby advises s custotnzrerse side f his o on th <br /> u is required to comply with federal regulations applicable to management of used oil,to r th ITIO t <br /> 3licable to hazardous waste management facilities.California facilities that handle or rocess used oil OF YOUR used <br /> qu <br /> ne out-Of-state facilities that process used oil also meet those requirements.These at is not hat customer's shipment of used oil may be transported to a facility <br /> tifications of tank integrity, requiredo comply withpp the more stringent requirements <br /> Y and financial assurances for closure and accidzntal releases:It is.lawful to send used oilired to outtof-statefare'Sngent requirements,and <br /> Z <br /> ude more stringent leak detection and revention requirements,engineering_ <br /> those <br /> h federal us d oil mana ement standards and not thmee <br /> ese more stringent requirements. I <br /> g.: _- This notification is for information' act'ties that comply only I` <br /> _purposes only. <br /> or Cinnefurn D.:.,♦�L,...n �� <br />