Laserfiche WebLink
J <br />Evergreen EnInmental Services <br />NQ_ 69476 <br />Containerized Services <br />dedicated to the prt+tection of the erndrrtnrnerrt <br />To schedule a pickup, call Send payment to: <br />800-596-9455 <br />Sales Order # <br />Evergreen Oil, Inc. <br />68Rtr Smith Ave., Nmark, CA EPA# CAD982413Nt2 Dept, LA 23234 <br />I fi54t1 S. Sstn Pedro St., Carsnn. CA 'LPA# CAD982413262 Pasadena, CA 91185-3234 <br />GENERATOR/JOB LOCATION BILLING <br />BILLING INFORMATION <br />Dale: <br />AME <br />CASH [] CHECK ❑ <br />ADDRESS ADDRESS <br />CUSTOMER CODE NO. <br />�-- <br />.ZIP <br />ST �' CO. C17'Y S7'A7'E ZIP <br />CO. PO�1 <br />1'I ONE N <br />PHONE NO. PROFILE NO. <br />CST Ell EPA ID NO. <br />PRODUCT WASTE MANIFEST <br />CODE NUMBER QUANTITY UNiTS <br />PRICE AMOUNT <br />Waste Latcx Paint (Non-RCRA) <br />Waste Latex Paint (Non-RCRA) <br />Waste Paint Related (Flantmables oil based) <br />Waste Paint Related (Flammabfes oil based) <br />Waste Aerosols Cans <br />Waste Corrosive Liquids, n.o.s. <br />Waste Ffatttmab)c Liquids, n,o.s. <br />Waste Flammable Liquid,, n.o.s. <br />Non-RCRA Hazardous Waste, Liquid <br />Non-RCRA Hazardous Waste, Liquid <br />Waste Toxic Liquids or Solids (Class <br />Waste Oxidizing Liquids or Solids <br />Drained Used Oil Filters <br />Empty Drums <br />Non Hazardous Water <br />Nott Hazardous Water <br />Nem Hazardous Solids <br />Non Hazardous Solids <br />Glycol Bulk 50150 <br />Glycol Bulk Conc. <br />TSDF <br />§<6lZe91 <br />reen Oil, Inc. ❑ SA Recycling ❑ <br />80 Smith Ave. ?3210 Western <br />ewark, CA 94560 Union City, CA 94587 <br />CAD980887418 CAL(M344530 <br />tfld <br />CHARGES <br />Bootle: ❑ Collection Station 0 GoVemmenl Generatorccs that it has established a program da <br />to rect the volunte or <br />quantity & toxicity of the hazardous waste to the degree determined by <br />❑ Marine ❑ Agricultural © Industrial generator lo he economicully practicable. <br />I hereby certify t I haVe rod Md have the-jitalhority t <br />Retain sample # Ind thtpbove listed gellyrator tot a lermson the reveres <br />sidk of this fornta <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />Per California Health and Safety Code Section 25250.9, Evergreen hereby advises cu torttier that customer's shipment of used oil may be <br />ported to a facility that is required to comply with federal regulations applicable to management of used oil, but that is not required to <br />ly with the more stringent requirements applicable to haZal-dDl1S waste management facilities. California facilities that handle or process used <br />see required to meet those more stringent requirements, and some oul-of-state facilities that process used oil also meet those requiretttentS. <br />These include more stringent leak detection and prevention requirements, engineering eerlifications of tank integrity, and financial assurances for <br />eli)Sttre and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards <br />and not t re ingent requirements. Thiiq0tification is for information purposes only. <br />