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209 832 4259 0?-,34:"P.M. 05-05-2010 10114 <br /> WORK ORDER,,,ERVICE AGREEMENT <br /> 'Evergreen Environmental Services NO— 4265413 <br /> Vi"ji 10!OW the "hi ")If inw.liff I)[ <br /> To schedule a pickup, call Send payment to: Sales Order #jJfu'Q <br /> 800-596-9455 FA-cr-reel) ()if. Inc. <br /> 6880 Sint!)Ave.,-Nev%,-'�10K,CA EPA#CAD9824f-'11262 11.0. B OX 17 -7 <br /> 16540 S. San Pridro 9t.Carson.CA EPA#CADM2,41'.1262 L0, CA 90030-05 1 i Date,. L;;� <br /> G,ENP.RA'roR/,J0B LOCATION BILLING INFORMAUON <br /> ........................................................... ....... <br /> NA IE NAMF CASH V('lip"("K <br /> # <br /> .................... <br /> ............... <br /> 1)1)R ESS ADDRESS NO. <br /> CITY f i 1L1 (.'0. 1 CITY SIATE 21111 CU. I P0 At <br /> 77 <br /> MOM, NO. NO. -lER FPA <br /> MOW i i PRO E Cl.ST0,N <br /> WASTE I MANIFEST <br /> PRODU."11' 1('()1)i, NUMBER :QUANTITY UAITS PRU."E AMOUNT <br /> .......... <br /> Used 61. 14ori-RCRA ffivardow, 1-0ricitting CA22 <br /> oal. <br /> Wu';Ie,Liquid Indit,trial i CA2'1 <br /> Gal. <br /> Gal. <br /> 1W Lf T"I"0' <br /> Oil &- Witter.Non-RCRA 1-h/udou,Wusic Liquid CA221 <br /> Gill. <br /> wa.'ae solitkarld siftjdgei Gal. <br /> _��;L,h Out Each <br /> Drairsod lied Oil 4- Druill — <br /> NonTCRA liazardow;Waste Solidi 16IN ('1\211 <br /> Empty Driffn."* Drum <br /> Nort.Hay firdouAlmer <br /> ........... ...... <br /> 1) I'Mi 4('9X')Z:P-6 ppin i ('lor 1) W00 N'sfail 1 ail <br /> fialogell Dovoor.41111le T'! Ki�' <br /> Field Servi.'e-\Vt.wk lk�,cripiiulf: Total Char q.s._. <br /> ................ ........... ............ <br /> Out , 0A !drat:iter? (Afl*1-nad find ...... elurn it, Y:1rd <br /> ............. <br /> TS -/ <br /> Consolidated N: It <br /> 011.loc. F-cr-rcelt Ew. F-7 <br /> /I , , ":. i AIN i I! i <br /> t. J RII.ld 1014 [ic -1 1' <br /> ijfi ( iol, ........... <br /> ........... <br /> ............................... <br /> ........... F­1 <br /> tt <br /> C <br /> \101" <br /> .................. ........ <br /> Source: ccholl stall(wil _j(.;o\e;-1111jCf1[ <br /> j NhTille' �j <br /> ............................... ................ i llereb� vvr-ffl'� thal I have read and haNc Elie autbui <br /> ............I......................................................................-......................................... <br /> Wild the alitne fitv ter.ip., <br /> Retain sample # 61'k­f'i)"r'rin <br /> INTPORIAN'l' NOAACE RFA; kRDING1,14E. DISPOSITION, OF YOUR OIL <br /> Per C'afifornia Ifeallh zind .SaGAi, 0file seclifio 25250.9' 11'-vch' 'tt'tf'L:'1 .)if )11.1A !I,: <br /> if TI IM11M !h:A W.!0:1 <br /> thic wo!c <br />