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2011-Feb-11 0210 PM DSW AG 209-3'�9-8867 19/42
<br /> *FA WORK 0RDEIL.,ERVICE AGREEMENT
<br /> Evergreen Environmental Services
<br /> (A die u, it to t Ir/rev trrtion 4/f 1/11•pttl'b'nrurG eft N-0 3 .)
<br /> 5)287
<br /> To schedule pickup, call tired J)"N111C`11t til:
<br /> 800-59 -9455 sak(s
<br /> fP-0- BO Oil. Inc-
<br /> 8880 Smith Avs„Newark,CA EDAM C D982a132H2 N.O. BOX 3t75I7
<br /> ts540 S,San Pedro St.,Carson,CA PAlr CADH824132A2 1-0'(Angulus, CA 90030-0517 p t:
<br /> GF,NFRATOR/,IOB LOCA110HILI IN I )RMATION
<br /> rVAMF
<br /> 1� CASH 0 CHFCKAD
<br /> Q
<br /> AAI)KFtis n_ T d IY,R C0 /
<br /> ('I Y' 11' Co,{CITY Tr T'E P CO, O#
<br /> _ PHONP NO. —� PROFIL . NO. CI Is o-&IFR EI-A ID NO.
<br /> PRODUCT WAYTT MANIF'FST
<br /> NUMBER QUANTITY UNITS PRICK AMOUNT
<br /> Used ail.Nun-9CRA Ihvitrdnu. La!rivaling CA=
<br /> Gal.
<br /> Wasre, Liquid GuI.
<br /> q _ Irnflslrtai C't1'2f
<br /> r Irl Awn uttrMiYr lnrihern•,Nr-n kt'RT 1h—h- CA 134
<br /> �+—�-
<br /> N'u.rcGul.
<br /> ky w�r,m r„mlwuaa•l.,.lu,d, xn v;21— - -
<br /> (oil.
<br /> t
<br /> Uil X Water.Nr n•R('kA Nai:minu.Waxre liquid C'A__E Gal. --
<br /> Wasle Solids and Sludgc. Cul.
<br /> Wa.h Out
<br /> Drained tlsed Oil Filler, Drum
<br /> dr
<br /> Non-RCRA!lu_ntNuu.Wus1e\olid.toily Jlhh's) C'A2?i Drum
<br /> Eimltty DrtlmN
<br /> —•-� _ Druin
<br /> Trun.)>trrtutiun
<br /> Hrs.
<br /> Non Hazardous Water � ^� Gal.
<br /> Glyt:n)Hulk SO/SII C't11
<br /> Glycol t3ulk ('unc' rt Gal.
<br /> 1'F.Sr:Q C Inr t)'I'tih 11110_ rltnl (')err t)'I'rch Ilx)0111'11" Q Full Q IlaluIIcn DelerlorMumr Test Q Puxs Q half
<br /> I-Ivtd ticrviee Werk(h.cri tine.
<br /> — --- --- lcti,ll 01M, 0.11
<br /> Other,
<br /> Ot her:
<br /> vaCuurtt Scry ICC.'fimr �/V�
<br /> Out ur 1'attl—�fht tiil�_—. �1)II .Si[e kcrurn tri Yard
<br /> tSUF' [] Consolidated Manifest
<br /> Qhvcr,rvt'n()it. tilt. (f I.tsrerecn I'.nv.Rvt', F%-011mcn tint',Svc 7, APS Filtvr Q
<br /> Nxtl Sniirll Ave, l� ki cal 111H a l.lrl N, Vulvutine tJ ISI?I C'hlrk Ave,
<br /> Newark,CA 9.15611Davi...CA Shin Fresno,CA 917'_2 Indust CA 91735
<br /> C:\D4111xx7a is CAD!hv's1 NT; c'ADVx?;lbx 1_' ryry
<br /> J Ft'tvgrttin Pats,8y,. f._ Iwn-:ityn Ent. ,Svc. f ('Irk rR I� Greenleaf Liv.Svc,
<br /> J Inr,lu S. San I'etlrnIIPllcnn'ia l_.� t)��1(.Yauh,ol,1v . 33?Il)Wcnhnl tJ t�7d Tayon('in le
<br /> ('ahun.CA kW.lh S;mul\tariff (',\')1.15.1 Lus \n�tViva.('A 91AI liniun Clty,C'A 9g5g7 3474y S lin•x.CA 4S?,i?
<br /> ('ADtlxtOrlr,i2n C:\DI)i3_'d1 <x C'ALtll) IIN)-11 C'Al�lutx01,5t7 CA[noq�la211
<br /> Genurnkv ccrlilies it"'[it has e,smhlishcd a mt;ntni to reduce the volume or
<br /> �Sc)ttrct,�; ❑Ct)ll�ctinll Stalicm �(it)v�t'nment � r
<br /> r yaUntllV cY to.xivity of[Ile 1111/1lydoas Waste to the,•degree dvtenninvd by
<br /> U MarlllC '-J AL'I'ICILIIWrill l] Industrial rcvtr mor ill ht`erunnlnically prticticahla.
<br /> -- —— I hereby certlfv that I have read and have the au jho.into
<br /> hind the above 1110ited �e� nerator tte [tic terrrt t)n the reviceve
<br /> Retain sample #_ ..-..._. ..- — s_(dc of this Form.
<br /> INIM)RTA T NOTICE RF:(;ARI)ING THE DISPOSITION OF YOUR 011„
<br /> Per C:ullfnrnle health and Sjjftq% ('cede, ecllan 2S3a0.9, hvvrgrcen herchv advise.custontur 111111 custot)tcr's Shiltrttcnt o1'tISCd oil play he
<br /> u'ansprn'tcd to a 1'arilit) that iN required to comply with tedvlal regulation". applicable to Ulunugr:ment of used oil, but that i. not required it,
<br /> comply With the mire .tringt'nc rcquh'rntel L•al)plicahlr to hatterLI11U. waste manaEcnunt fticilities. Catlifornia t'uciliticN that I ndle Ur process used
<br /> Oil iir� rcyuired ut ntecl thirst` Mort' Nlrintc t rrquimntcllts, :Incl antic out-of-shire facilities that pnvcsx used oil abil Inecl use roquirernents.
<br /> Thusr: include morn .Irin�crtt IV;lk deteetlor ane! prewillion requirenlems,e0&eering certitications Of allk ilftVily, ;11111 I1,111Gid assurances for
<br /> closure and accidrnlal rVie'lWx. lI iS Iltwflll h)send used oil lir{lilt-of-state F.Ic'ililicu that comply on y ith le Oral u.cd I Iqunagcrrtent standurds
<br /> ;utd riot thee more stringem. luirerltrntN, 'his nrnilicalion is for infornuttion 1%, Poses n
<br /> *. ... ., .. -----— -- 1 - --... t�ev I 'e'(/u c.ti[O Imo✓
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