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FROM L.F.W. MFG. INC. ® FAX NO. : 209 465 6521 Mar. 09 2007 08: 36AM P2
<br />WORK ORDEJ WRVICE AGREEMENT
<br />Evergreen Environmental Services NO- 380200
<br />cie<iicatetl to au, prorection of the envirunr ent %�
<br />To schedule a pickup, call Send payment tae: Sales < !,, _1 7
<br />800-596-9455 Evergreen Oil, Inc.
<br />6880 Smith Ave„ Newark, CA EPA# CAD9824132152 P.O. BOAC 30517
<br />16.540 S, San Peoro St., Gerson, CA EPA* CAD982413262 Los Angeles, CA 90030-0517 Date: % ii✓✓
<br />GENERATOR/YOis LOCATION BILLING INFORMATION
<br />❑E, Evergreen Env. Svc. Evergreen F..nv. Svc. n CFR � CFR Greenleaf Env. Svc.
<br />16604 S. San Pedro 745 A West Bcucravia k__J 944 Slauson Ave. 33210 Western 3474 Toyon Circle
<br />Carson, CA 00746 Santa Maria, CA 93454 Los Angeles, CA 90011 Union City, CA 94587 VilleyyS�nings, CA 95352
<br />CAD981696420 CAD982446A58 CALOOO11002J CALOOW91507 CAI..000.-14411
<br />Generator certifies that it has established a program to reduce the volume of
<br />Source: ❑ Collection Station ❑ Government quantity & toxicity of the hazardous waste to the degree determined by
<br />® Marine Q Agricultural ® bidustrial generator to be economically practicable.
<br />– •- Thereby certifX that I have read and have the authority to
<br />bind the above listed 14enerator to the terms on the reverse
<br />Retain sample # side of this form.
<br />IMPORTANT NOTICE REGARDING THE D,(SPOSITION OF YOUR OIL,
<br />Per California Health and Safety Cotte Section 252$0.9, Fvcr_rcen hereby advises customer that cuslorraer's shipment of used oil may be
<br />transposed to a facility that .is required to comply With federal regulation` applicable to management of usad oil, hut. LhaL i, riot required to
<br />coltaply with the More Stfirlgcnt requirements applicable to hazardous waste management facilitic;s. California facilities that handle or process u..Wd
<br />oil arc required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those =111irernnrnls.
<br />`fhcsc include more stringent leak detection and prevention requirements, eng,nvenng certifications of tank intc$rity, and financial assurances for
<br />closure and accidental releases. It is lawful to send used nii to tut-of-SLate facilities that cnmpty only With fndcrtl weed oil man Lgenlcnt standards
<br />and nut these more stringent requirements. This notification is for information purposes only.
<br />YRPRODUCT
<br />WASTE
<br />CODE
<br />T
<br />NUMK
<br />QUANTITY
<br />UNITS
<br />PRICE
<br />AMOUNT
<br />Used oil. Non•RCRA Hazardous Lubricating
<br />CA221
<br />w
<br />Gal.
<br />Waste, Liquid Industrial
<br />CA221
<br />Gal.
<br />tr,; Awomauve Aaueme7.e, Non,RCKA Nazanioun
<br />Waze�rJ�iri
<br />CA 134
<br />(jai.
<br />Rn Wane C:ombwmble Liqui6, N.O.S. NAt
<br />r, . jj14 iQ,;,f0;mnmi-wi wi1h h.lo enol
<br />AZ=�
<br />F' ei?2 002
<br />Cal.
<br />Oil & Water, Non-RCRA Hazardous Waste T.iquid
<br />CA221
<br />Gal.
<br />Waste Solids and Sludges"^
<br />Gal..
<br />Each
<br />Wash Our
<br />Drained Used Oil Filtcrs
<br />�d.T
<br />.w,.
<br />Drum
<br />lion-RCRA Hazar us Waste Solids (oily debris)
<br />C:.A223
<br />_
<br />Drum
<br />-
<br />Empty Druips
<br />Drum
<br />Transportatio
<br />Hrs_
<br />Gal. T
<br />Non Hazardous Water _
<br />ry�
<br />Glycol Bulk 50150
<br />~..
<br />......,.......,..
<br />Ual.
<br />Glycol Bulls Coacr
<br />a> _
<br />TES's':❑ Clor D Tech 4000.,—ppm ❑ C1or D Tcch 1000❑ Pass [,J Fail ❑ Halogen Detester/Flame Tesr ❑ Pass ❑ Fail
<br />Field Service Work Description:
<br />rr otal Charges
<br />Outer;
<br />Other;
<br />Vacuum Services Time
<br />Out of 'Yard On Site Off Sitc —Off Load Start Off Load End ..... Return to Yard
<br />TSDF j'""
<br />❑Evergreen Oil, Inc. Evergreen Env. Svc.
<br />6880 Smith Ave. LJ Road 30B
<br />hlewark, CA 94560 Davis,. CA 95616
<br />CAD980887418 CAD982446874
<br />❑ Consolidated Manifest
<br />Evergreen Env. Svc. ❑ AIS Filter
<br />4139 N, Valentine 15131 Clark Ave.
<br />Presno, CA 93722 Industtryry Ca 91745
<br />CAD982446892 CAD 0097432
<br />❑E, Evergreen Env. Svc. Evergreen F..nv. Svc. n CFR � CFR Greenleaf Env. Svc.
<br />16604 S. San Pedro 745 A West Bcucravia k__J 944 Slauson Ave. 33210 Western 3474 Toyon Circle
<br />Carson, CA 00746 Santa Maria, CA 93454 Los Angeles, CA 90011 Union City, CA 94587 VilleyyS�nings, CA 95352
<br />CAD981696420 CAD982446A58 CALOOO11002J CALOOW91507 CAI..000.-14411
<br />Generator certifies that it has established a program to reduce the volume of
<br />Source: ❑ Collection Station ❑ Government quantity & toxicity of the hazardous waste to the degree determined by
<br />® Marine Q Agricultural ® bidustrial generator to be economically practicable.
<br />– •- Thereby certifX that I have read and have the authority to
<br />bind the above listed 14enerator to the terms on the reverse
<br />Retain sample # side of this form.
<br />IMPORTANT NOTICE REGARDING THE D,(SPOSITION OF YOUR OIL,
<br />Per California Health and Safety Cotte Section 252$0.9, Fvcr_rcen hereby advises customer that cuslorraer's shipment of used oil may be
<br />transposed to a facility that .is required to comply With federal regulation` applicable to management of usad oil, hut. LhaL i, riot required to
<br />coltaply with the More Stfirlgcnt requirements applicable to hazardous waste management facilitic;s. California facilities that handle or process u..Wd
<br />oil arc required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those =111irernnrnls.
<br />`fhcsc include more stringent leak detection and prevention requirements, eng,nvenng certifications of tank intc$rity, and financial assurances for
<br />closure and accidental releases. It is lawful to send used nii to tut-of-SLate facilities that cnmpty only With fndcrtl weed oil man Lgenlcnt standards
<br />and nut these more stringent requirements. This notification is for information purposes only.
<br />
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