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0 <br /> N <br /> N <br /> C <br /> WUKIK OKI NP.WNFFC91"t, O <br /> r....•.........r / nvimnnaa.n f»I Ca rviavN N <br /> WOKK UKDFK/ti P)KVIkAl Y <br /> F\cr�nrn I]H immitu ial Services <br /> N° 611971 , o <br /> rop:n'nA.wun�weeup c 11 �'nl fin- Sale,C'd. p _ O <br /> 800-596-9455 E—, .oil.Inc. L <br /> P:Lvdena.CA911a5-3234 Date:f <br /> ..KNL/fAIY)R/MBL(H'ATION BILLING INFORMATION <br /> NA.NF, CASH Q('DECK Q ' <br /> ADDRESS �C/�I,y(TyMF t'DUE NO.. <br /> r y <br /> (TATE p�%ISP CO CITY STA FE LIY CO—POM <br /> )AF.qr. PHONE NO. PROFILE.NO --ClSTO\IER EPA ID NOS Q <br /> mgtt'-sLy� m <br /> U� PROM1Cr WASTE MANIFEST QUANiiTY UNITS PRIDE AMOUNT <br /> CODE NUMBER C <br /> ` A. rw ru!4w-acxA Ha.aMa. Lub uag CA22 Cal. <br /> Ii.L,.J Wuw.,,i CA221 Gal. <br /> CA 134 <br /> ` .oa... Hu111 G.L. d <br /> Gel. W <br /> U A atrr.NefaglA if a Wawc Lrywd CA223 Gal. O <br /> 03M1N atl SWpea Gal. <br /> Y,d Qu Gal. —_ <br /> QNrou,e WaMsS om Cka a Each C <br /> CV Day <br /> 00 <br /> Mras�eA.a R s. 3 <br /> D9.NI am %Ruaaa % N <br /> C*w C.Wjs,,lf,y�"�"aa Gal <br /> D7,A,� . ,N <br /> II.. 7w; CbDTeN Gal <br /> ^"'F"'�eee1 . � <br /> ❑CIorDTeoio00 Fail <br /> p <br /> —.—_.. � <br /> �, •; Retain sample k -- ----- <br /> Rewired <br /> N _--- - -- v <br /> a) Rausw�wW-oi•:i;iar/ _ Total Chame, y <br /> ad <br /> TS 0 <br /> m — N <br /> C <br /> E.ergreen Oil.Ix. <br /> Consolidated Manifest i ) <br /> — <br /> �Ra SOIIN A', �R fMk.Dave❑Evergreen Oil.fine..Fresno 17 I'rnrc In DRIVER 'KLIST —_ <br /> ark.CA 41.,39 N V T,,nc o <br /> CAD98U8874IR gnli,CA 95616 aicmine <br /> C[p9B2446R74 pmeno,CA 93722 ❑ fa1101k m prtlped)Labeled <br /> 16(M cen Env.Svc CAD9i2446RR2 ICI .r - <br /> 7l6rIat.I anp 1'mllupr111-11 Da1c Marked <br /> Carwrz.Cd W)7 7a3 A l t&1 934El <br /> —_ 17 H nc K e n <br /> CAD981 SRaa Maria,CA 43.)54 -- --____I P i funWDrum CI i, <br /> CAN 2�W6g58 ---- ____,_Il7 Orh 1 Se"'I"Checked:O Oil ❑ IiII re l*, n <br /> )UfCe: --��_ 7(. Iled n tller n.�vice.¢needed 1 11`' AnUh <br /> Collection Station ❑o l c her_ur n„, <br /> O Marine Government Gen <br /> eraav eenifies that 1t has established <br /> O Agricultural 4aantiry 6,wxicay f the hamrdoux waste w11,r liegrce Jerre <br /> ] Industrial <br /> �gennralor to be uonolnicall <br /> EL1 _ertlPv th Y PrncDcabl<, <br /> bpd ths-ab(Ive Ii leek!} a�� <br /> rn4llealth an IMPORTANT NOTICE REGARpING T .)d DI th r ,hl` <br /> 1 t d 1 ell,code eSe ntinn 25250.9,Evergreen hereby THE DISPOSITION OF YOUR OIL. <br /> ru elw,rey Thal w <br /> he more atria efnnf requirements applicable able federal Wndoiiet 0"applicable III management of used s shipmentj,taped <br /> red 10)neer lhn e <br /> Y Knng/enl Iealkk Jetfthunl requirements•and some out_of•mora gent irM,Ires.Califmi o �thawt is him <br /> _-11b"+ek.It is 1�a�0 en(1 Prevention I.nr:....... u I�ciliues that hrRana <br />