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4 Evergreen Environmental Services Work Order <br /> dedicated to the protection of rhe environment Bill of Lading WOC 132 3 0 7 <br /> VOVA To schedule a pickup, call Send Payment to: GLSE03 <br /> 800-972-5284 Evergreen oil Inc Customer <br /> 41 or 510-795-4400 Dept.of LA 23234 <br /> 6880 Smith Ave.,Newark, CA EPA#CAD982413262 Pasadena,CA 91185-3234 <br /> 16540 S.San Pedro St.,Carson,CA EPA#CAD982413262 <br /> Pickup Location: Bill To: <br /> GLOBAL 7 OCEANIC GLOBAL 7 OCEANIC <br /> 1404 W WEBER AVE 1404 W VC=BER AVE <br /> STOCKTON CA 95203 STOCKTON CA 95203 <br /> 1 � <br /> Contact: (209)565-9551 Ext.0000 <br /> NOTE VIZ6 C.. f) <br /> CUST NO. EPA NO. TERMS PURCHASE ORDER NUMBER TERRITORY <br /> &41 Mona !m47 arving 14 4n <br /> Q.DATE BOE NO. Billgroup OIL ROUTE PROFILE PROFILE PRINTED BY <br /> W26120 113 !?038 gbreadlove <br /> Quantity Item Description Manifest No. Unit Pr"see Amount <br /> Reg, Pickup <br /> l 1 <br /> 0.00 H —RCRA HAZARDOUS WWT$e LIQUID (:7� ���1 �tJU� sow <br /> 3.00 HOUT&Y LABOR/TRANSPORTATION sow_ <br /> 300 OILY WAT R <br /> TSDF ❑Consolidated Manifest DR R CHECKLIST <br /> v <br /> er <br /> ' <br /> een oil,[nc, ❑Evergreen Oil,Inc.-Davis ❑Evergreen Oil,Inc.-Fresno❑ 1:1Tme bae oat J� <br /> 6880 Smith Ave. Road 30B 4139 N.Valentine o Teak C=P,.",y Lasered <br /> ewark,CA 94560 Davis,CA 95616 Fresno,CA 93722 ❑Accu WPW SWd nate Mad<ed <br /> CAD990887418 CAD982446874 CAD982446882 ❑House Keeping.Tzn Omm0— <br /> ❑EverareenEnv.Svc.❑Evergreen Oil,Inc-SanuiWeSA Recycling F�Test Results 0( 01Sery SCeecaed'❑OJ,pFltersdhums.LJAnfitreen <br /> 16604 San Pedro 745AWest Betieravia �33210Wmem PPM0 Caged InetnersemcesnmdedMCiI,MF3terstoams.t7Acuneeze <br /> Carson.CA 90746 Santa Maria,CA 93454 Union City,CA 94587 <br /> CAD981696420 CAD982446958 CAL000344530 <br /> Generator certifies that it has established a program to reduce the volume or <br /> Source: ❑Collection Station ❑Government quantity&toxicity of the hazardous waste to the degree determined by <br /> Marine ❑Agricultural E] Industrial <br /> to be economically practicable. <br /> ❑ I hereby certify that I have read and have the authori#y <br /> to bind the above listed Penerator to the term5_gq the <br /> Retain Sample# reverse side of this form. <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br /> Per health and Safety Code S ction 25250.9,Evergreen hereby advises customer that customer's shipment of used oil may be transported to a facility <br /> that is a Californiaof d t0 comply era!reg tions applicable to management of used oil,but that is not required to comply with the more stringent requirements <br /> appli a le to It wa manag nt acilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and <br /> so o t-of-state facilities tha process u oil also meet those requirements.These include moreAvW <br /> iention requirements,engineering <br /> ce ific ions of tank integrity,and financial urances for closure and accidental releases.It is lae facilities that comply only <br /> th fe eral used oil management standards n of these more stringent requirements.This notifionly. / <br /> e_ [ <br /> Drive Signature Print!Name Route 9 Date Generat 's ignature Print Name Date <br />