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lad WORK ORD rERVICE AGREEMENT <br /> Evergreen EnviO mental Services N°' 406900 <br /> dedicated to the protection of the environment <br /> To schedule a pickup, call Send payment to: Sales Order # JJ12Z9vF• <br /> 800-596-9455 Evergreen Oil, Inc. <br /> 6880 Smith Ave., Newark,CA EPA#CAD982413262 P.O. BOX 30517 <br /> 16540 S.San PedroSt.,Carson,CA EPA#CAD982413262 Los Angeles, CA 90030-0517 Date: <br /> GENERATOR/JOB LOCATION BILLING INFORMATION <br /> N E r NAME / CASH❑CHECK❑ <br /> Cs # <br /> AD—DRESS'—ft <br /> D E`SSSS In tl-t w ADDRESS CUSTOMER CODE NO. <br /> 637— <br /> CIT STATE ZIP CO. CITY STATE ZIP CO. PO At <br /> PHONE NO. PHONE NO. PROFII.E NO. CUSTOMER EPA ID NO. <br /> t ) G9Lc Is90 <br /> PRODUCT WASTE MANIFEST QUANTITY UNITS PRICE AMOUNT <br /> CODE NUMBER <br /> Used oil,Nan-RCRA Hazardous Lubricating CA22 Gal. <br /> Waste,Liquid - Industrial CA221 Gal. <br /> UT ALi uidmomotive Ansifinem.Non-RCRA He ous CA 134 Gal. <br /> wum <br /> RQ W-le Combustible Liquid N.O.S.NA CAM <br /> 1993 111 Oil ronmminmN wid,Lela sl m lU WQ Gal. <br /> Oil&Water,Non-RCRA Hazardous Waste Liquid CA221 Gal. <br /> Waste Solids and Sludges Gal. <br /> Wash Out Each <br /> Drained Used Oil Filters Drum <br /> Non-RCRA Hazardous Waste Solids(oily debris) CA223 Drum <br /> Empty Drams - Drum <br /> Transportation I Fla. <br /> Non Hazardous ter Gal. <br /> Glycol Bulk 50/50 Gal. <br /> Glycol Bul Cone. Gal. <br /> TEST: Clor D Tech 4000�ppm ❑Clor D Tech 1000 Pass❑Fail ❑ Halogen Detector/Flame Test ❑P ❑Fail <br /> Field Service Work Description: Total Charges <br /> Other: <br /> Other: <br /> Vacuum Sgfvices Time <br /> Out of Y d On Site Off Site Off Load Start Off Load End Re to Yard �at <br /> TS Consolidated Manifest <br /> Evergreen Oil,Inc. ElRoad <br /> Env.Svc. El Evergreen Env.Svc. ❑ AIS Filter <br /> 6880 Smith Ave. Road 30B 4139 N.Valentine 15131 Clark Ave. - <br /> Newark,CA 94560 Davis,CA 95616 Fresno,CA 93722. Industry,CA 91745 <br /> CAD980881418 CAD982446874 CAD982446882 CAD000097432 <br /> ❑ Evergreen Env.Svc. Evergreen Env.Svc. CFR CFR Greenleaf Env.Svc. <br /> 16604 S.San Pedru 745 A West Betteravia 944 E.Slauson Ave. 33210 Western 3474 Toyon Circle <br /> Carson,CA 9074 Santa Maria,CA 93454 Los Angeles,CA 90011 Union City,CA 94587 Valley Springs,CA 95352 <br /> CAD98Ifi9642 CAD982446858 CAL000110021 CAL00009i507 CAL000214411 <br /> Source: Collection Station ❑GOVelIlIDeIlC Gene ator ce tifies that it has established a program to reduce the volume or <br /> quantity&toxicity of the hazardous waste to the degree detemdned by <br /> O Marine ❑ Agricultural ❑ Industrial generator to be economically practicable. <br /> I hereby certify that I have read and have the authority to <br /> L bind the above fisted generator to the terms on the reverse <br /> Retain sample # _ side of this form <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR 010L. <br /> Per California Health and Safety Code Section 15250.9,Evergreen hereby advises customer that customer's shipment of used oil may be <br /> transported to a facility that is required to complywith 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 required to meet those more stringent requirements, and some outof-state facilities that process used oil also meet those requirements. <br /> These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity, and financial assurances for <br /> Mdttre and accidental releases. It is lawful to send aged oil to out-of-state facilities that comply only with federal used oil management standards <br /> not these more stringent requirements. This notification is for.information purposes only. _ - <br /> Exhibit 2 <br /> ,0Cr ' t <br /> ttt q%,,, rniover�Signature Print Name Route # Date enerator's Signature Print Name' Date <br />