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2011-Feb-11 0210 PM DSW AG 209-3'9-8867 S/42 <br /> Evergreen Environmental Services <br /> ontainerized Services 47549 <br /> � a. <br /> drehad rl a the pintrrrintr of the rnt•lrnunrrrrl <br /> To ahedu1 a plckup,call Send payment to: Sales Ordt:r# WOOZ��Y.�/ <br /> 800-5 6-9455 Evcrgreen Oil,Inc. <br /> hkH(ISbrilhA+'�,.NU��ark.C'1\ ITA CA1)9K]413262 RO, BOX30217 /D <br /> 1 h340 S.Sun tlq,14 Yr.,Ca"In.CA tst•A#CAD9K241;ane Los Angeles,CA 90030-0517 Date: <br /> GENLRATOR/JOR LOCAT ON BILLING INFORMATION <br /> NANIE CAST;17 CHECK❑ <br /> A•D K:SS ADDRTSS gO pi l <br /> o Q <br /> C TY STATF1 ZIP CO. CITY STATF. PO# <br /> -- <br /> PHONE NO. <br /> PHONE IVO. PR()FIi.1 NO, Ct1.4TOMisR EPA ib NO. <br /> PRt)11CICT WASTE MANIFEST QUANTITY UNITS PRICK AP4UUN"r <br /> CODE: NUMBER <br /> Wji Ie l slater Palm(Non-RCRA) <br /> Waste Latex Paint(Non-lWkA) <br /> %%MC Paint Ra:kdt:d(Plurnmahirx oil based) <br /> Waste Paint Related(Flarnmahlw+(Ill ascd) <br /> Wastc Aertwola Cans <br /> ,,nrbriRwa Alla <br /> al lwb n&+1Y 11.1101 <br /> do ueHxMl <br /> uonvn nuaW,w10.W 1,n <br /> au.„h,m J w.h .IPu111 h iL,rnr4xn <br /> Wustc Corrnsive Liqui(k.mo.s• 1 <br /> Wavle Flammable Liquids,n.o.s. <br /> Waste Vlumntable liquids.tt•n,x. <br /> Non-RCRA Htizanious Waste,Liquid <br /> Nan-RCRA Haznnlous<Waste,LiquiJ <br /> Waste"Toxic liquids lir Solids(Clax><)I <br /> Wastr Oxidizing Liquids:or Solids r � <br /> Pr'aiucd tl,+ed Oil Nilterx <br /> Empty Drum.% <br /> Non Hazardous Wwer <br /> Nun Hazardous Water <br /> Non Hazardous Solidi <br /> Non Hazardous Solids <br /> Glycol Bulk 50131) <br /> Glycol Bulk Cone. <br /> TOTAL CHARGES <br /> TSDF <br /> Dhvargrven Oil,h,c. ❑ C1rR a �e1 CPO <br /> 6630 Smith Ave, i,�?1 n W�vestern /�C✓ <br /> Ncwark.CA 94560 hnion City.CA 94587 <br /> CAD980897418 CAIJX W1507 <br /> Qvner-ntor tertians that it has established u pn,gmin to reduce the volume or <br /> Source: ❑ Collection Static?n ❑Govetnment quantity&toxkity of the huzardouR write to the degree dctertnincd by <br /> ❑ Miulne ❑ Agricultural ❑ Industrial generator io he cconnmically ptucticuhle. <br /> 1-hereby t; rtify that I have read and have the authority to <br /> hind the above listed ygperator to the 19rnty nn the revere <br /> Retain sample# sideor this fhrm- <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br /> Per California Hralth and Sarety Cope Section 25250.9,Evcrgreen hereby udvisrs customer that customer's shipIn tel'used nil may he <br /> transported to a facility that is requirudl to comply with federal regulations applicable to munagement of used oil,but thtit is not n:qui e1" Io <br /> comply with the more Ntringrnt nquirggmems applicable to hazardous waste management facilities.California facilities that hundlc or process used <br /> oil Lire required to meet those mora stri sprit requirements,and some out-of-state futilities that process used oil also meet those requirements. <br /> Thcse include more ntringunt leak dctcpon and prevention requirements,engineering certifications of tank integrity,and financial assurances for <br /> closure and tt�x idental ruleases.it is la Cul to send used oil to out-of-state facilities thus comply only with federal used ail manapcment standards <br /> and not these more Su•ingCnt requin:menti.This notification is for information purposes only. <br />