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0 WORK ORDIPSERVICE A <br />Evergreen Environmental Services <br />dedicated to the protection of the environment N-0 530141 <br />To schedule a pickup, call send payment tf)* 7 <br />00-596-9455 EverSales Order #WU95_(!�7R <br />8green Oil, Inc. <br />6880 Smith Ave: ' ?,Jy ark. C,,EPA� CAD982413262 FO. BOX, 30217 <br />16540 S. San Pedro SLCarson, CA EPA# CAD982413262 Los Angeles, CA 90030-0517 Date: <br />,2��TOR/lB LOCATION RTY'r.mr- TVVn1>Af <br />r <br />PRODUCT <br />WASTE <br />MANIFEST <br />EjEvergreen Oil, Inc <br />6880 Strilthkye. <br />CODE <br />NLMER QUANTM UNITS <br />Used oil, Nell Hazardous Lubricating <br />CA22 I <br />Davis, CA 95616 <br />Waste, Liquid Industrial <br />CA221 <br />Gal. <br />U,KdA.ww�'A�dftn o�sGal. <br />Vv", r <br />CAD982446882 <br />J, <br />RQ Wid. MoS. NA <br />1993 lif (o <br />A -1 <br />CraT <br />Gal. <br />Oil & Water, Non- CRA Hazardous Waste, Liquid <br />CA221 <br />Gal <br />Waste Solids and Sludges <br />332 10 Western <br />Union CjtV- CA 94a? <br />Nvash Out <br />Dr=ned Used Oil FFhers <br />Each <br />on-RCR-A 11azi Waste Solids (oily debris) <br />CA223 <br />Drum <br />Empty Bruins <br />Dnint <br />Transportation <br />Dmin <br />----------- <br />Hm <br />Ion hazardous Water <br />Glycol Bulk ' 50/50 kAP, <br />Gal. <br />Jill] <br />Glycol Bulk cone, <br />PRICE <br />TEST: F-1 Clor D Tech 4000____ppruE3C-1or D Tech,000 El Pass R Fall [l Halogen Detoctor/Marae Test [] Pass [] Fail <br />Field Service Work 13eSCilrtiibra. <br />Other <br />Other: <br />Vacuum - <br />acu'ra, Service <br />Tune <br />Chit of Yard— On Site—Off SiteoffLoad , Start —Off Load End —Return to Yard <br />TSF <br />It Consolidated Manifest <br />EjEvergreen Oil, Inc <br />6880 Strilthkye. <br />Vert <br />E reen Env, Svc. <br />Road 30B <br />Evergreen Env. Svc, <br />AIS filter <br />11 <br />N —ark, CA 94560 <br />CAD980887418 <br />Davis, CA 95616 <br />4139 N. Valentine <br />Fresno. CA 93722 <br />15131 Clark Ave. <br />Industry, CA 91745 <br />CAD982446874 <br />CAD982446882 <br />CAD000097432 <br />Evergreen Env. Svc. <br />16604 S. San Pedro, <br />Evergreen Env. Svc. <br />745 A West BetteTavia <br />F-1 CFR <br />CFR <br />0 <br />Carson, CA 90746Slauson <br />rATIQl <br />Santa Maria, CA 93454 <br />L_J 94E. Ave. <br />Angeles, ngees, CA 90011 <br />332 10 Western <br />Union CjtV- CA 94a? <br />Source: Q CoUection Station C] Government ator certifies am <br />' d cLIJ I = "ity & toxicity of t <br />�ecti � iicultural Marine fj A liculhiral 71 indfistdal generator to be econom <br />M <br />Retain Sample # <br />X <br />CHECK <br />"M <br />Greenleaf Env. Svc, <br />3474 Toyon Circle <br />Valley Springs, CA 95352 <br />CALOW214411 <br />hall established a program to reduce the volume or <br />hazardous waste to the degree determined by <br />Per California Health and Safety -NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />afety Code Section 25250.91 Evergreen hereby advises customer that customer's shipment of used oil may be <br />transported to a facility that is required to comply with federal regulations applicable to management of used oil: but that is not required to <br />"PlY with the I'lule su'lilgent requiYernerl ap leable to hazardous waste management tacilities. Calitorrita ttill that handle or process used <br />1, Pi <br />oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those requirements, <br />These include more strinaent leak detection and prevention <br />closure and accidental releases. It is lawful to send used oil requirements, engineering certifications of tank integrity, and financial assurances for <br />to out -of -slate facilities that comply only with federat ed oil management standards <br />anof these more stringent requirements. This notification is for inforniadon purposes only. <br />i � <br />