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. . � �► <br />' Evergreen Env i onnmental Services <br />nerizServices <br />dedicated w the 1rrorec-tion rif the envirrnrntrru <br />To schedule a pickup, call Send payment to: <br />800-596-9455 Evergreen Oil, Inc. <br />6880 Smilh Ave.. Newark, CA EPA# CAD962413262 P.O. BOX 30517 <br />16540 S. San Pedro St., Carson, CA EPA# CADS82413262 Los Angeles, CA 900.10,0517 <br />r_t;wVl2ATnr2lrnrt f.nr ATrnw till•I.ING INVORMATION <br />to <br />r <br />NO- 31894 <br />/ti'o2�1 S <br />Sales Orde <br />Date `-'' —O <br />NAl4 <br />NAME <br />CASI1 L] C)":cK E] <br />Waste Ualex Paint (Nun-RCRA) <br />'Ss <br />ADDRESS <br />1 190, <br />t <br />CIT P CO. <br />CITU STATE 2111 CO. <br />11 <br />9 <br />Nm-RCRA 14—naw, Wame. Solid tN.i. <br />i, - MI W *ob LwiWkgonjrE"i%v1%1 <br />P 'E <br />PHONE NO. <br />PROFILI NO. <br />CUSTOMER EP 1 <br />J <br />Waste Flammable Liquids, mo.s. <br />Nan-RCRA Hazardous Waste, Liquid <br />Non-RCRA Hazardous Waste, Liquid <br />Waste Toxic Liquids or Solids (Cluss 9) <br />7.�— <br />PRODUCT, WASTE MANIFEST QUANTITY UNITS <br />CODE NUMBER <br />PRICE AMOUNT <br />Waste Latex Faint (Non-RCRA) <br />Waste Ualex Paint (Nun-RCRA) <br />Waste Paint Related (Flammahles oil based) <br />Waste Paint Related (Flammables oil bused) <br />Waste Aerosols Cans <br />Ww•RCRA H—d"., Waste, solid isnit. <br />1 bri> run i k ad withnQ.,u h • I ;nrtMYl O - <br />Nm-RCRA 14—naw, Wame. Solid tN.i. <br />i, - MI W *ob LwiWkgonjrE"i%v1%1 <br />Waste Corrosive Liquids, n.o.N. <br />Wastc Flanlnlable Liquids, nm.s. <br />Waste Flammable Liquids, mo.s. <br />Nan-RCRA Hazardous Waste, Liquid <br />Non-RCRA Hazardous Waste, Liquid <br />Waste Toxic Liquids or Solids (Cluss 9) <br />Waste Oxidizing Liquids or Solids <br />Drained Used Oil Filters <br />Empty Drums <br />Non Hazardous Water <br />Non Hazardous Water <br />Noll Hazardous Solids <br />Non Huzardous Solids <br />Glycol Bulk 5050 <br />Glycol Bulk Conc. <br />MAY <br />LBy. — <br />DF <br />Evergreen Oil. IC. CFR <br />6880 Smith Ave. 33210 Western <br />Newark, CA 945 Union � �C�i�tyy CA 94597 <br />CAD91i08$7418 CAL000t391507 <br />TOTAL CHARGE <br />Generator cenifics that it has esutblished a program to reduce the volume or <br />Source: Collection Station ❑ Government quantity & toxicity of the hazaRioas waste to the degnx determined by <br />❑ Marone ❑ Agricultural ❑ Industrial #cneratur to he economically practicable. <br />I hereby certify that I have read and have the uuthorit) to <br />bind the above listed Generator to the terntts on the reverse <br />Retain sample # slde of this fortrl. <br />IMPORTANT NOTICE: REGARDING THE DISPOSITION OF YOUR OIL. <br />Per California Health and Safety Code Section 25250.9, Evergreen hereby .advises customer that custclrncr's ShilMnellt of used oil may he <br />tranaptlned to a fatality that is required to comply with federal regulations alpplicaable to management of used nil, but that it; not requited tat <br />comply with the more" strin#enl requirements a1plicahle to hazardous waste n1111agetnew facifiiies. California lacthties than handle or provcss tatted <br />oil are required to meet those snore stringent requirenlea1IF. and --Valle nut-nf UaIC 1"Cili tett that process used doll also Gleet douse r-etluitemeitls. <br />These include more stringent leak detection atld preVC116011 re(IttlrelllCnts, etlglneet9ni <br />lig certlfi aons of lank Integrity, :and financial assuranccs for <br />closure and accidental releases. it is lawful to send used oil to lout -elf -state facilities that comply only with federal used nil management st,lndtards <br />and not these more Stringent requirameim. This notificalion is for information purposes only. <br />. Z <�-/ (ff 0,7 <br />