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2011-Feb-11 02:10 PM DSW AG 209-339-8867 9/4`
<br /> A WORK ORDETi,-,ERVICE AGREEMENT
<br /> Evergreen Environmental Services
<br /> dediruted to the prdrertion of the enwrottnrerll N0o
<br /> 5`+17 6`-�
<br /> , To schedule a pickup, call .
<br /> Send payment to: Sales Order#
<br /> 800-596-9455 Evergreen Oil, Inc.
<br /> 9890 Stntth Ave.,Newark,CA EPA#CAD982413262 P.O. BOX 30517 • P
<br /> 10540 S.San Pedro St.,Carson,CA PA#CA0982413262 Los Angeles, CA 90030-0517 Date: 1
<br /> GENERATORMOB LOCATION BILLING WORMATION
<br /> NAMIE
<br /> U � • C " 1 '.,� NAME CASH❑CHECK
<br /> ADD 3 ADDRESS
<br /> //CUS MER CORE N0.
<br /> CITY STATE ZIP CO. CITY STA'T'E ZIP CO. PO#
<br /> •. iJ I el-K( l i
<br /> FHONEiNO. PHONE NO, PROT?rME NO. CUSTOMER EPA M NO.
<br /> Aura
<br /> PRODUCT WASTE MANIFEST 'QUANTITY UNITS PRICE AMOUNT
<br /> CODE NUNIBER
<br /> Used oil,Non-RCRA Hazardous Lu We4tifts CA222';' y t',t.•;. �.r �C:V 001.
<br /> Waste,Liquid In usulal CA221 Gal,
<br /> us~Lv Autom�,tve Anilftw:w Non•RCAA Iloranlow CA 134
<br /> Cal.
<br /> R W IOIIr bluPolaUplo,=,11A 221 0121.011*Watkt,Non-RCRA Hazardous Waste Liquid CA1222o12 Gai.
<br /> W41e'Soli6 and Sludges Gal.
<br /> Wash Out Each
<br /> Drained Used Oil Filters Drum
<br /> Non-RCRA Huzardous Waeto Solids(oily ebris) CA223 Drum
<br /> Empty Drums Drum
<br /> Transportation Hrs,
<br /> Non Hazaglovs water t3gl,
<br /> Glycol:Rulk 50150
<br /> G1:Y1u1k;:,. Conc,
<br /> '`' �`� •i 9ch.",A wpm. •.
<br /> + iLCj4i
<br /> -,7 -4 61 Wft
<br /> 0 ..;Tech1Q Toot . trr: r Lliat' es t;
<br /> islYya�;_ IcW .a, itsn: ��:;;r.I 11^tt;rr, ns:1•�1;,r;'y :11'�oEa1"
<br /> tlieli,' t14V1S'rt,77 :,,• ,: �,.� rift '-`ni.'" ,, •.r•
<br /> Other .'i. ;� �;•�; I ':Y; 7 ti i�''ts... r: u
<br /> Vacuum ScrAceaTime "",,J;X` •K;<. Q`r�'1 `�« :�� ' i.;_i „`
<br /> Out of Yard an Site 0 7 31tc Off Load&.0 uigrto Yprd_� h.�i,1,ti
<br /> AADF ❑ Consolidate Y .
<br /> S dl'1Vlanifes
<br /> h e•�.:4•- s. AbtglccnAii,.Inc. ❑ 8verg�cn Env,Svc. ❑ Bvergreen Env.Svc. ❑ AIS Filter ❑
<br /> >; Qhtllii:Av��. Road 3t}B 4139�J.Vulcntinc 17131 Clark Ave.
<br /> •" '`' t�i1xC/�',94560 Davis. 93616 Fresno,CA 93722 Indus CA 91745
<br /> t%'•' ' +'? 'i C�j 98178$7.18 . CA 874 CAD982446Ag2 C"R097432
<br /> ;.
<br /> �� Rve ° itN%...Sve. I—I 8vetgMa Buy.Svc. ❑CFR CFR ❑ Greenleaf Env,Svc,
<br /> i 1 �,c� nihdrp� Lrl 749. 'W l8eltgravia 944 E,Stauson Ave. 33210 Western 3474'1'0yon Circle
<br /> •�1 � ;i .r•:;;'! - ;: s4 c 4LOo�i i�abalA 90011 CAiooa09iso7 94587 cALe�oSprings,
<br /> ita 1 CA 95352
<br /> ESQ irCe: k, y + r� C&fiq t7enerntor certifies that It has established a program l}imluce the volutHd or
<br /> �, 1 ,Q'r�x;~, }. ct`;.�'. ,.QVCr1111TeI11 quantity&toxicity of the hazardous wosto to th'adggme:determined• y"
<br /> k ' ;gegemtor to be economically ptnclicable.
<br /> y,.�, r, . :.�.:, . ,, _ I?6eceb':cectt ., at:� lias!t.read endue a0sdthe•authou-tt to
<br /> ZAV
<br /> ',;+ '�'',v,,. r `rlcs�s?.r;c,'�'!r' :f}ie:'auti,Je•ai®><ced,"�ttid
<br /> `•r', et •., '
<br /> $414. i�''' :•s:;�'.:•c'• rytis+.'tl`4`r-.s: "" 'iJr,•,'r. '7}:yieit�j:''`.i7 � nri i;, BrtItOl"t0.t118 LaLYItI�'011thltr,T.aVOrBE,
<br /> y{ ""' k s1r}e�o thifocrit .
<br /> l.�l.rV,•'•'•f i'4', l.•t,•7s1'`r�•�+�,7Y:��'h�.e`( p�.h..t. •�... v,5, �+r. .� h
<br /> .7 i �•• r,, srrtt4,;'t�j'"5 r. it�ullR h}/.�'iSV'!s% _ CY• � N'� 1 ".You :OIL.
<br /> } " ;=Pe ltU of iiilll`~ l "and Safe Cp"rle S yC�ipn , 59 v,''r e fe x• dv`i ��qt iib¢ ti�;kh QY� 'er!'s.shfpmena of-,U '4,' I:'tp bo
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<br /> t%.c �.m ?!ti�Jth;• i�Yiior tLi ont,F�4S!r1 Ti? fits`cap lJFnbld:to:na3 qus,w} lit:Ip 4�Yidn , acilttie In 411 PnL4f+tbil tids•th t ; lci"dt'1• rpc osed
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<br /> Is 11111rt r 1 /,� a w t Y i a
<br /> mt�,engEt� 1ettice'e¢ fprevenjl0#j,7I 1ns�L�r%QdBteertr� ;rehcatldll&'otaa3k�na�rtt5! , inantftssu>rences for
<br /> "c1oe°gc l 11[ Irt�le >�Ss.SIcuIA'�v ltde r �l: SGiI to auk P nbstg;facil�aetr.t�tdt aA 1 N ruff: W `f s '' '�° standards
<br /> ()(J r t fifi ,i� 4 , P.J. . X � ', Fel. Ofl.lt 4nagomont stand s
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