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WORK ORDCLA RVIAGREEMENT <br />Ever, en Services <br />dedicated to the prrseccivn of 11ze era 4ronmenr —x3 <br />To schedule a pickup, call Send pay gent to: Sales Order # <br />800-596'9455 Evergreen Oil, Inc. <br />(1980 Smith Ave., rrc;sark, CA EPx*,4t C:AD98241..s<e*� P.O. Bion: 30x217 <br />I6540 S. San Pedro St:, Carson, CA EPA# CAD9324I3262 Los Anseles. CA 90n'1f)-ni17 <br />A z L_j Consolidated Manifest <br />Evergreen oil, Inc. f`f Evergreen Env. Svc. I — i Ev ,reefs Env. Svc. EJ AJS Filter I �j <br />fi880S irk Ave. LJ <br />Road C_l413WN.Valentim' L J 151M Clark <br />'Neaark, CA 94560 Davis, CA 95616 Fresno, CA 93722 Znd' CA 91745 <br />CAD980887418 CAD982446874 CAD982446882 1 97432 <br />Evergreen Env, Svc. M Evergreen Env. Svc, F-1 CFR F7 CFR CrreenledEnv. Svc, <br />LL 16604 S. Sara Pedro L.._t 745 A West 13etteravia " 944 E, Slauson Ave. LI 33210 Western LJ 3474 Toyon Circle <br />Carson, CA 90746 Santa Maria, CA 93454 LosAngeles, CA 90oi 1 Union City,CA 94587 Valley Sggrinas CA 95352 <br />CAD981696420 CAD982446838 CAL000110021 CALW0091507 CAi i021441y1 <br />Source: ® Collection Station C1Government Generator certifies that it has established a program to reduce the volume or <br />quantity & toxicity of the hazardous waste to the degree detmninetl by <br />Q �'��ldne L-3 13 ghr�l cult Q jndustdal I generator to be economically practicable, <br />hereby cert v that I have *mad anti haze ties ararhl:rtty to <br />Retain sample # �" t d a t« h ter Q e <br />��.d.€:_of this form <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL <br />Per California Health and Safety Cade Section 25250.9, 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 />Comply With tl%, JI)OIL ,1aijj9Cjjt'cqui -Bents applitaLie to hazaWous waste nianageMenr faaflIties. Califon, is ta:eifthes.that hanWe or process used <br />oil arerequired to meet those more stringent requirements, and some Out -Of -state facilities that process used ail also meet those requirements. <br />These include more, stringent leak detecti6n d prevention requirements, engineering certifications of tank integrity; and financial assurances for <br />cIpsure and accidental releases. It is IaW'ful to send used oil to put -of -state facilities diet comply only with federal used oil management standards <br />and not these more stringent requirements. This notification is for information purposes only. <br />a_ <br />