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1010812010 09:55 fAX) P.0081045 <br />WORK ORDALERVICE AGREEMENT <br />Evergreen Environmental Services N2463507 <br />44dedicuied io the pmfectlon Of'rhe errvironmew <br />To schedule a pickup, call Send payment to: Sales Order # ,114 <br />800-596-9465 Svergen oil, Inn. <br />GM t3mlth Ave., Newark, CA EPA# CAQM413252 P.O, BOX 30517 / <br />1et_� <br />W S. San Pedro St„ Csmon, CA EPA# CAD992412M Log Angeles, CA 9W30 -M517 Date: <br />J, a, <br />PRODUCT <br />WASTE <br />CODE <br />MAN P9917 <br />NUMJiiER <br />QUANTITY <br />UNITS PRICE AMOUNT <br />Used oll, Non-RCRA Hazardous LubricMils <br />CA22 <br />Duvia, CA 95616 <br />u 15131 Clark Ave. <br />Fresno, CA 937'+..2 Indus . CA Nd745 <br />Gal. <br />Waste, Liquid industrial <br />CA221 <br />Gltl. <br />1.44tAaMnutlw AuatceaAt. WMWUaA ltamrdmm <br />J <br />CAl <br />•i <br />is <br />Gal. <br />W C.mnhtxtntle i dud NOS. <br />CA221 <br />mat <br />1 <br />Gitl. <br />Oil & Water, Nun.RCRA Hu'rantous Waste Liquid <br />CA221 <br />Gail. <br />Waste Solids and Stud as <br />Gal. <br />Wash Out <br />Each <br />Drained Used Oil Filters <br />Drum <br />Non-RCRA Hazardous Warne Solids roily debris) <br />CA223 <br />Drum <br />Empty Drums <br />Drunt <br />'f4an dation <br />Hrs. <br />Non Hazardouh^wr <br />Gal. <br />Glycol sulk 30t5U <br />Gal. <br />Gly%•o113u cone. <br />0141. <br />TEST: EfClur D Tech 4000 ppm Cl or D Tech it>tX) <br />Pass 0 Pail (] Ralo;ett Detector/Flame Tesly6 Pass [] Fal! <br />Field Service WoA , Description; <br />Total Char CS <br />Other- <br />therOuter: <br />MOT: <br />Vaeuum Services True <br />Out of ,rd On Site Off Site <br />Off Lurid Start <br />Off Load find <br />Return t tri �� w <br />'I I?' <br />[ Consolidated Manifest <br />8varttmn Oil, Inc. <br />6880 Smith Avc. <br />I—t EverErrcn Eats. Svc. <br />t�l Road 3Us <br />1 "1 "ve ,r1_ t Eay. Svc, M AJS Filter <br />El 4139 N. Vakrttine <br />Newark, CA 94,gfitl <br />Duvia, CA 95616 <br />u 15131 Clark Ave. <br />Fresno, CA 937'+..2 Indus . CA Nd745 <br />CAt?9iltk)87418 <br />CAD982446874 <br />CAD4S'r,.446882 CA 7432 <br />1 <br />Ever_ tinv, S Evet�een Env. Svc. (') CFR ®CFR Qreelrleaf Bnv, Sw . <br />166ti4 S. Ssn 74$ A West 8ettoraviu El 92F E. Stattses Ave 3321U Wratten ;47s Taoycln C'ln le <br />Cavum, CA Santa Mario. CA 9.3454 Los Angga) CA gooI I !inial City. CA 445X7 Vulie Sy� inpp,aa,, CA 93352 <br />CAD98t GAt�4$244685$ CALt)40110021 CA ,507 CAUptU IZI <br />Source: Cvliection Station ®GOv�rnmt:nt Oenerrtor cenifie a that it has, c„tablibited a pruyratu to reduce the volume or <br />quantity & toxicity or the hwArdous waste to the sk:8rec determined by <br />® Marine Q A ricultural L) Industrialne b to <br />ego omicthatalyh®veticread and ha the aathorlt to <br />R7 le bind the above 11144 generator to the teams on the reverse <br />Retain sample C. <br />side of tils forgn. <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />Per Cattforniat Health and Safety Code Sectlon ?52N-% Evergreen hereby advl&-A custurnew that cusloiner's shipment of used oil may be <br />transported to a facility that is required to comply with federal regulations applicable to management of uwd oil, but that is not regnirod to <br />comply with the more stringent requirements applicable to hazardous+ waste m anaaXemcnt facilities. Califtwnia fucllities that handle or proccH% used <br />oil are required to meet those more stringent requirements. and some out•of-state facilities that pnucw: u..Cd otl also meet those t•equirotnenis, <br />The awn: include strict ent louk detection and prevention requirements, engineering certifications eat" tak integrity, surd Financial u.-isura aces for <br />0 and accidental releases. 11 is lawAil to send used oil to out-of-state facilities that comp 0 itb fvdaral 1 m;anagemera standards <br />an of these more stringent reyuittnienta, This notification is for information purposes only <br />C^ • <br />1�Jliver iionatitre rtittt Aima Ph4vto fE rla►- XT <br />