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209 832 4259 00'^A:47 p.m. 05-05-2010 11 /14 <br /> WORK. ORDEI-.,.)ERVICE AGREFAIENT <br /> Evergreen Environmental Services NO 1106938 <br /> f1-h-4Wd;f'11wipi'll"iffim "If dw rolbollill"llf <br /> To schedule a Pickup, call Send palyment (4): silles 01-der <br /> 800-596-9455 (ail. 111C. <br /> 6,980 Srn:th Ave-Newark.CA EPAj�GAID,982413262 PA). BOX '0517 <br /> 4 AA <br /> 16540 S. San Pe(jro St..Carsan.,'-A EPAI CA0982413262 Los Ailzlelel, C.A 9(()30-0517 <br /> GE,NF.R.Vf'0Rf.j0B LOCA-1-10N BILLING INFORN-WrION <br /> i Vii; 40E <br /> Oos*4 ................ <br /> ---------- -- ......... t CUSI'ONIER <br /> ADDRFSS <br /> PO N <br /> ZIP Cli <br /> t -NO. <br /> + ....... (J'S'll'ONIFIR EPA 11) <br /> PHONEIN10. <br /> L <br /> L <br /> It ....... .. . <br /> .... <br /> ............... <br /> ] <br /> ... .....................................----------- <br /> %N A S'V'ET %-v,%lFp'S'r <br /> w <br /> iQ('A L tSI'S <br /> PRlCF <br /> ANIOUN'l <br /> C:OiE ' <br /> .......... G 1. <br /> IZ:k <br /> Wa,tc. Liquid CA-121 Gill. <br /> Gal. <br /> 134 <br /> ---------- T <br /> Gill, <br /> Oil Non-RCRA Ha/;ird, <br /> .................. .............. .......... <br /> --T <br /> Gal. <br /> write sulid':Clid S ki <br /> ----------- <br /> ........... <br /> ].)milled 1.sed(Ill l"illel" .......... .................. <br /> AA W�L'10 S'llid'I0ilV�10""" <br /> NM ....................... <br /> 4.........— <br /> -- -----------........... 1-irs. <br /> —-------------—------------ <br /> Oal. <br /> ................. ............. <br /> .......... <br /> ... ....... <br /> ............................. -------- .......... -();If......- I <br /> ------ <br /> Q�':"l Rill Colw. <br /> ........... ------------ <br /> ........... <br /> I FS F1 ('Jjlf J) J"7ch 4000. ftf?nt <br /> 17 <br /> j it atNN) <br /> .......... .............................................. ....... T <br /> FieldSL:[,%io'-44ork ...................................... .......................................... .......... ................ <br /> ........... <br /> .................. ---------- <br /> v. .........-------------.1............................... ... ............. ..................... 2p <br /> L"at' <br /> 00 ...................Olt 1.11ALI Si'll'i .... ..............()ii <br /> ........................................................................ ....................... .........----....................................... ........................... <br /> :j <br /> Consolidated Manifest <br /> TS F <br /> ............ ...... -------------............. <br /> ........... ...... <br /> ...................................... <br /> Nok;iik.CA 93560 ..................................... <br /> II <br /> ........... <br /> .......... <br /> Source: j Gw\ermll-'--111 <br /> N-1ri rl..................... . .c..t....r...fi...f.-N Ilial I..h ',e read and..l...j.N..,V......j..i..l.t......j...u....t.h...o..r...i.t..y....t..oJ ....... .................. .................. <br /> ........................... ............-................... .. <br /> bind the abo%e listed t-'e1 a ortulh.e 11%, kyll the..................-rvierse <br /> ............. <br /> .................----.......................... <br /> Retain sample 4 .1 ................ ...............I..................---.............. -;ideill'Ibis r0117-11' <br /> .............. <br /> IMPORTANT NOTICE REGARDIM; THE DISP()SITION OF N-()[.:R <br /> 1-�-n-lVC11 hO*�': <br /> .0. ;\C, � <br /> 31 <br /> aliftli-flia Health and �;Mel\ Code sevdim L;Z' <br />