Laserfiche WebLink
07/11/2011 22:04 2099838084 <br />Eve ental Services <br />Contalverind Services <br />dedicated to the protections Of the envirOnmettt <br />To schedule a pickup, call Send paynwnt to: <br />800-596-9455 Evergreen Oil, Inc. <br />6880 Smith Ave., Newark, CA EPA# CA.p982413262 Dept- LA 23234 <br />16540 S. San Pedro St., Car3on, CA EPA# CA0982413262 Pasadena, CA 91185-3234 <br />. anwr�an amrwa i4�a a nnerrirnsT RTT.T.TN V. INRORMATION <br />f7eTC-T2W211C3 <br />Date: <br />PRODUCT WASTE MANIFEST QUANnTY L NrrS PRICE <br />CODE NUMBER <br />AMOUNT <br />Waste Latex Paint (Noa-RCRA) <br />Waste Latex faint (Non-RCRA) <br />Waste Paint Related Mantmables oil based) <br />Waste Paint Related (Planimabtes oil based) <br />Waste Aerosols Cans <br />Mh 9 waxe. $4th (5411. <br />Nbri0 with S <br />Non-RCRA Kaw4oms y'mft. Solid (Smt <br />Debris comalifi Afro with to <br />Waste Coarosive Liquids, tio.s. <br />waste Fla tmable Liquids, u.o.s. <br />Waste Flammable Liquids, n.o.s. <br />Non-RCRA Hazardous Waste, Liquid <br />Non-RCRA Hazardous Waste. Liquid <br />Waste Toxic Uquids or Solids (Class 9) <br />Wage Oxidizing Liquids or SQhds <br />i7tuined Used oil Filters <br />Empty Drums <br />Non Hazardous Water <br />Non Hazardcw Water <br />Non Hazardous Solids <br />Non Hazardous Solids <br />Glycol Bulk 59!50 <br />Glycol Bulk Conc. <br />TSDF <br />("" l Evergreen Oil, I=. SA Recycling <br />uU 6880 Srntth Ave. 33219 Weacm <br />94587 <br />Newark CA 94560 Union City, CA 94587 <br />TOTAL CHARGES <br />Sowce: 0 Collection Station Q Govenmient <br />Q Marine U Agricultural ❑ Industrial <br />Retain sample # <br />Generaw certifies that it has established a progtatn to reduce the volume or <br />quantity & toxicity of tote hazardous waste to the degree determined by <br />genermor to be economically practicable. <br />Lh2VR t.>t C &X ,t Y stave read WO have the aWhaft to <br />bindik _aho9c listed ,generator to the tez ma an the reverse <br />We of this farm. <br />T; '' 1 : 1 j!'i <br />Per Ca0fornia Health and Safety Code 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 the more stringent requirements applicable to Hazardous waste management facilities. California facilities that handle or process used <br />oil are requ' a more stringent requirements, and some out-of-state facilities Haat process used oil also meet those requirements. <br />These 'A de more stringe leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances for <br />CIOs and accidental cele s. It is 1 KM1 o send used oil to out-of-state facilities that comply only with federal used oil management standards <br />not these more stringe requi nts is notification is for information purposes only. <br />Driver Signature Print Name Route # Date General s Signature Print Name Date <br />