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<br /> Form Approved ddb No.2OSPUO3916.pirm o 30,90) 598 Instructions On hack Of pd®Q 6: DepanrmM or Tork C ..ran[n Control
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<br /> 11. Cmaerato,P US EPA ID No, Manifmt Docvmmd No. 2. Por 1 InformoHan N Ao ch.d.d arem
<br /> UNIFORM HAZARDOUS q �j b not mgulnd by Federal law.
<br /> WASTE MANIFEST,. f AA:54A&4 /I��261 J ' `� of 1 EES4
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<br /> EVERGREEN ENVIRONMENTAL SERVICES
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<br /> Z 9. Oeupr,aled F«ility Name amt Sd.Addreu 10, US EPA IU Number n
<br /> U-) 0 EVERGREEN OIL, INC.
<br /> 6880 Smith Avenue H w661 fi,"
<br /> a . Newark,CA 94560 C 'A D i g B 0 8187�411
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<br /> G I NON-RCRA HAZARDOUS WASTE,LIQUIDT T ID G
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<br /> Q 15 Sp i.l H.ndknq In,ov om and Addlhoiml Information
<br /> <I24 Hour Emergency Response Telephone No.:CHEMTREC 1-800424.9300 Invoice f
<br /> m DOT ERG 31 WEAR PROTECTIVE EQUIPMENT
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<br /> tA. GENERATOR'S CERTIFICATION: I hereby de.ctore dot the .nlenh of rhit c.6,nmem are fully ord«aaotdy deunbed above by proper shr,pi,,wme m,d m<losudied,
<br /> r Q poked,marked,ord labeled,and are in oil rexpech,n ,.per cdnd6no for hon,od by hih.,«<ord,g to nWk.blx indorn.N.1 m,d notional w. nnnnerR regvlatimt.
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<br /> If I am a Iwgo q."W oto,I .rof,dot I hoe a pmprom in pl«.to noduce de wlvme and ro.imy of woste gerw.orod rode degree h.d.leimirwd do be
<br /> xx" ' y +N :ecanovrncally procticabl.and dot I have wIected the procbcable medod of tmatment ro ale,or d.p [currenNy..&M.ro mm wh chrninun.z.the prevent and fofers
<br /> y draat ro Iwman heoMh and 11; r mmmm,OR,9 1 om o andl wo" wet r,I bare made a good Ia,A,ett«t ro nm muc my w to q<neralion 6Mcui'id th.ben
<br /> ¢g' YYC O`t° "w^t mMhod dot it.wR bl.to and dot I can afford+ im
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<br /> Receipt of M nob
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<br /> DO:NOT WRITE E1aOW:THIS UNE.
<br /> • st K <$' ,A :.WhrP. qt TS�1M SENDS THIS COPY TO DTSC WITHIN. 30 Gk S.
<br /> Xgw of .`!aR JODO s«smer,t CA 45812
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<br /> 03/17/1998 "ORIGINAL MANIFEST COPY"
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