Laserfiche WebLink
2011-Feb-11 02:10 PM DSW AG 209-339-8867 3/42 <br /> 2 <br /> Evergreen Environmental Services N°-.�; 5,55 5 5 <br /> Contalnerized Services <br /> rs�� dedirul rl to the pmtrrNon of flit'c'mdmfnrrrrtr <br /> To 80had le a pickup, cell Send payment to: <br /> 5ales <br /> 800- 96-945 <br /> Gvcrgroeu Oil.Inc.F <br /> AlifS(1 tinlilh r\�.,.Newark.C'A <br /> rlIA#CAl3UV2413363 Dept.LA 23234 �.�� <br /> t nsao s.titu,I':dro St.,Ca—,".C' t:PA#CAD! 73.7�3ana Pasadena,CA 91 185-3234 sAALC: G <br /> GENE ATOR/JOB LOC TION ri' BILLING INFORMATION <br /> NAME CASH D CHECK(� <br /> # <br /> L98 ADDRESS U5'fOD4F,R NO. <br /> AL <br /> 1TY �j�/ TA Q CITY STATE Zrp CO. PO# <br /> 4 <br /> • ! SZ <br /> PIiONE N0. PHOi\I�N0, PROFILE NO. CUSTOMER EPA ED <br /> PRODUCT WASTE MANIFEST <br /> CODE: NUMBER Qt1ANTTTY -UNITS PRICE AMOUNT <br /> Waste Latex Paint(Nnn-RCRA) <br /> Waste Lutax Paint(Non-RCRA) <br /> Waste Paint Relntad(Flummables oil bused) <br /> Waste Paint Palmed(Flummables oil bused) <br /> Waste Aerosols Cants <br /> un•tiCltA wa run W.I..V-11d I 1, <br /> e mtominol wImlcum O. I - <br /> nn• CNA 1i, ors <br /> O.Mi• MIMIRP.,Hjd.�ftn Ll- <br /> Waste Corrosive Liquids,n.o.s, <br /> Waste Flammable Liquids,tt.o,& <br /> Waste Flammable Liquids,n,o.s, +. <br /> Non-RCRA Hazardous Waste.Liq jid <br /> Non-RCRA Huzanlous Waste,Liq Ad A <br /> Wants Toxic Liquids or Solids(Cl tn 9) <br /> Waste Oxidizing Liquids or Soildl <br /> Drained Used Oil Filters a <br /> Empty Drums <br /> Non Hazardous Watar <br /> Non Hazardous Water <br /> Non HazardouF Solids <br /> Non Hazardous Solids <br /> Gtyrol aulk 50150 <br /> Glycol Bulk Conc. <br /> TSDF TOTAL CHARGES <br /> Evergreen Dil,Inc, C <br /> New Smith Avc, 33210 Western <br /> Naw <br /> urk,CA 9a5tS0 Union City.CA 94587 <br /> CAD980887418 CAL000091507 <br /> Source: Q Collection Station u GOvemment 0eneratorcenifies that it has established a program to reduce the volume or <br /> quantity&toxicity of the hazardous waste to the degree determined by <br /> Q Marine Q fkg6cultural Q Industrialenergtor to bo economically practicable, <br /> authority <br /> Retain sample# bind the above listed¢enerator to the terms on the reverse <br /> side of this form. <br /> IMF ORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL, <br /> Per California Health and Sufaty Code Stiction 25250.9,Evergreen hereby advises customer that customer's shipment of used oil tnay be <br /> transported to it facility that is required to comply with federal regulations applicable to management of used oil,but that is not required to <br /> Comply with the more stringent re ulremcnts applicab)c to huzurdous waste maoagement'facilities,California facilities that handle or process used <br /> oil are required to meet those more strin#ent requirements,and some out-of-state facilities that process used oil also meet those requirements. <br /> These include more stringent Ieak atoction and prevention requirements,englrteering certifications of tank integrity,and financial assurances for <br /> closure and naidentul•?eleases.it i lawful to send used oil to out-of-state facilities that comply only With federal used oil management standards <br /> and not these more stringent rcquiroments,This notiricution is for Information purposes only, <br /> IZrivar�ionAhlra <br /> printNsimP AnnrA # n ., r- nom_.A1..-.. ,. . <br />