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06 f
<br />WORK ORDIJUSERVICE AGREEMENT
<br />wgreen Envir"Ienental Services a ri
<br />AIANIFEST
<br />NL MBER QUANTITY
<br />To schedule a pickup, call
<br />800-596-9455
<br />Send payment to:
<br />E\ci-gecn Oil. Inc.
<br />Sales Order
<br />6880 Smith Ave.. Newark. CA EPA# CAD982=262
<br />16540 S. San Pedro St. Carson. CA EPA# CADS820 3262 Los
<br />PAT BOX 3017
<br />Aii,,cics. CA 90030-05 17
<br />C:
<br />;ENERAT, , OB LOCATION BIIA,JN(;
<br />INFORMATION
<br />WEIRESS
<br />NAME
<br />WASTE
<br />WASTE
<br />AIANIFEST
<br />NL MBER QUANTITY
<br />NAME
<br />PRICE
<br />CASH EICIfEc K 10
<br />L',cd od.Non-RCRA Ila/antra, I ahii,atia,-,
<br />Ww" Liq aid Indli'llial
<br />CA221
<br />Gal.
<br />Gal.
<br />#
<br />WEIRESS
<br />fill
<br />R
<br />ADDESS
<br />X
<br />CUSP)MER CODEa
<br />�
<br />Wow Tom will Slmy
<br />Gal.
<br />CI'Z
<br />A I E Z11,CO.
<br />C
<br />CITY
<br />STATE Z113 CO.
<br />4) #
<br />Drained U,cd Oil Film-,
<br />j? 5 �! 01-
<br />Drum
<br />NO.
<br />NowRCRA thimlom "Sw W& mly Win I
<br />CA223
<br />PHONE NO.
<br />[want
<br />PROFILE NO.
<br />CISTOMER EPA ID NO,
<br />.1'lV)NE
<br />Drum
<br />Tmimpmmon
<br />PRODUCT
<br />WASTE
<br />WASTE
<br />AIANIFEST
<br />NL MBER QUANTITY
<br />UNITS
<br />PRICE
<br />AMOL NT
<br />L',cd od.Non-RCRA Ila/antra, I ahii,atia,-,
<br />Ww" Liq aid Indli'llial
<br />CA221
<br />Gal.
<br />Gal.
<br />Oil &, \Vaaci. Non-RCRA 11J/Jld0Ll1 \\aI[C Liquid
<br />CA 134
<br />4y"Y"11112
<br />CA221
<br />Gal.
<br />Gal.
<br />GA.
<br />Wow Tom will Slmy
<br />Gal.
<br />"'ash out
<br />Each
<br />Drained U,cd Oil Film-,
<br />Drum
<br />NowRCRA thimlom "Sw W& mly Win I
<br />CA223
<br />[want
<br />D"q Dimnis
<br />Drum
<br />Tmimpmmon
<br />1-11-s'
<br />Non lla/atdmis \Vmaci
<br />Gal.
<br />ihcol Bulk 50/50
<br />j
<br />Gal.
<br />Glycol Bulk Colic
<br />Gal.
<br />TF STN Cloi 1) Tech 4000_/C_,',ppm ❑ Clor
<br />1) 1-cch 1000 Pit- ❑ Fitt I ❑ lialogii Detector/Flame
<br />Tc,t
<br />E] Pas, E] kid
<br />Field SMICC W01K DCSCliEti1)l1:
<br />Total chal-Lcs
<br />OW:
<br />VaWUUHI s,:, \ ice, Time
<br />out of Ytld — Oa I w Olt Site
<br />0 a Laid
<br />Start 1 0 11 Load End
<br />Return
<br />to lard
<br />TSDF
<br />F --;l
<br />-. Consolidated Manifest
<br />1`5� Oil. Int. KeTwn K" Sit.Fwymn On. Sin AJS Filter
<br />L.J Tsyn .Smith Aye. El bmd 30H Ej 41 139 N. valentine El 15131 CLuk .A\c ID
<br />CA 94560 Dio k. CA 95016 he,no. CA 93722 lnda,tjc. CA 917-15
<br />CAD9,*)0M7418 CAI)I)S2440874 CAD9S_'J41(,1,s2 CAD000097432
<br />EBcTwn on % Enymn 10m. Sic cm CFRG!ef.'11lC:l1 Em. S\':
<br />16004 S. San Pedro Ej 745 A \\,:,( Bcit�:iamct El Q44 E. Summ 4� Ll IRM Womm El NO Tqw Circle
<br />ON, CA WQ6 Santa NAK CA 95454 On Ane 4. CA WAH 1 L Cy. CA 950 Valles Qmqs. CA Q552
<br />CAD0,S1690420 CAD9A2440,158 C.A1000110021 CAL000091507 ( A 100(12 1 �41 I I
<br />F_ Gcnci-atoi cei�tilic� th�,i it li;,, c:tabli,licJ t pioy)Mal toleCJl1CV o1C \0II
<br />1H -W �)l
<br />Some: 'a Collection Mon U Government ff"noty & uninq 'T TAWWAM "Ww p to de &WWWA h-,
<br />to bc Cc"
<br />1 ,_Craton,_Craton11,11licalk 1,1�1cli—b1c
<br />71 Marine F3 AgriCUItUral _j 111(]U�Stli�ll i hddv cWHT MM I have mad and have the aMh% to
<br />bine] the above listed "OteraW to the terms on the w eve
<br />Retain sample # side of* this Rwm.
<br />IMPORTANT NOTICE REGARDING 110 DEPOSITION OF YOUR OIL.
<br />Per California Health and Sakq Code Section 25250N. 3,yow hwQ YdVKeS Lwhwwr that CL1,1301ICKS hipnent Of Lhed A nun he
<br />Humpayd to a facility that is itgAnd to comply " Ali fcdClid 1-e�-tdatiOn, VW]Jlkalble M MaMTC11-lelit 01 U1,ed OIL but that is not lefftlifed to
<br />plc vv All thi- 11101-C ,41_ifl�Cnt 1,2CILlil-Colent', L!J)J11iiahlc to hazardous mmw mawymw Ndlhiv� C'Nifornk Whims to hmdk nVowns u"d
<br />lecjojlej to jlle'n thime mov AmIgmt wylumements. and mm, "WAAme facilities that pioccSS oil al"', meet lllolc
<br />'nin"em 101 dewown and ywomho wqQrcmmV. enginceHng lind fol;ilwiad fo!
<br />g 'It il -
<br />CIO�LHV uuI ccidental 1*ele,t-,f,,. It i, k \00 to send LN?d Oil of ounonme niekides that wmT4 w4 "Ah We& med Al numNUMCF11 standWRIS
<br />,ti-inL:nt if4jUAemenit,. This notification i, for At fol-i-i-tatioll pitrpn"()rlk. 4C
<br />-4 t Al
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