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2011-Feb-11 02:10 PM DSW AG 209-3'^-8867 20142
<br /> WORK ORDERJ'SERVICE AGREEMENT
<br /> Evergreen Environmental Services
<br /> deli•algi !li
<br /> d to r prulroloir(if the eirrrronme111 No 347150
<br /> To Schedule a pickup, call Svid payml;nt In: _27vi_
<br /> 80 -972-5284 Sales Order#
<br /> 2- 84 rvergrcall Oil, Inc.
<br /> 6880 Smith Ave.,Newark,C'A EPA#CA0982413262 P.O. BOX .30517
<br /> IBe4q S.San Pndro St_Canon,CA EPA#CAD98241329P Los Angeles, CA 90030-0517 Mite:
<br /> G EN ERATO R/.I()B L C'A'rYON BILLING INFORMATION I �^
<br /> ME — �— NAME U ISADDRFSSH ❑('HECK❑
<br /> gl)DRFSF c ';1F MFR CODF NO.
<br /> C TYK ti r.\I'r %1P Z co. STATE ZIP --G(). P()#
<br /> PIIONE NU. I'HC)NF. Vtl. I'ROP'if.E Nt). C'GSTOMFREPA IDNO.
<br /> P[tc11ri'( r -I I�A,STr �IANIFINT — — — 7
<br /> — — _— _— — CODE Ntl'r113Fk QUANTITYUNITS PRI 'F; T J— AMOUNT
<br /> Itscd nil,Noq.RCRit HaYurdnt s IUal.
<br /> Wuelt`.Liquid — �2 — --7�- _ zSZs>dG
<br /> 4 indus,ri,d C'A i
<br /> , ' -- •— — -•_ Ciel.
<br /> +.,I,I,mvm�,e,,t,nnn•rn•.Mx..kt'k\II�nni,nw� -- — _—.•—
<br /> A 1.14
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<br /> Ir,l al�t,lyl emtanrromn, i14 lxd„�.•na —'� I f+rlA fxt: GO.
<br /> Oil,Water.Nun-RCRA tLvn uue Wa,ie Liquid C A2211
<br /> Wasic Sulids(tilt!Sludgex -- —
<br /> Waxh Oil ---^-- - ----
<br /> — _ _ F.ach
<br /> endued llst4l Oil filters Drum —,
<br /> Nnn-RCRA Huvardous Wltelc Su ids(-oily tlehrk) C A22_;
<br /> Drum
<br /> limply Drums Drum
<br /> Trunsln„•tatinn - '
<br /> Nnn Huvartkn,k W:u.r "—
<br /> (ilycul Hulk r P06
<br /> (lh'eol Hul ('enc, - •---• •— --
<br /> - J.•.—. (Jul.
<br /> 'l1',5T; ._ C'lor f)Tech 41N0 1711 ❑Clor C)Tech IWO Pres Fail -- —�`=Q
<br /> ❑ ❑ Hut„}en I) eciodmamt:'rest ❑Puxx Pail
<br /> Fowl Chaox's
<br /> 1'irld Sarvice Work rhxeription; —
<br /> Other: —.. —.-1--- —. — --� �
<br /> Vucvwn Vrvices'rin,c _ —
<br /> lout 01' urd_=On Sit%' OI'I'Site — 01'I'Load Smn Off Laud End. Retu,n to yurd
<br /> TS r ComWidated Manifest
<br /> x Pvrrtircurl f)il,fila vel' reen Env.Svc', r� IivcKgrc'en DIV.Svc•. ('� AJS Filter (� _
<br /> (iRR(�Smith Ave, �ANR2446874
<br /> o k 30B I-1 4139 N.Valentine1._.1 15131Clttrk Ave,Newark.CA 4490uvis.CA 95n1n Fresno.CA 93722 Induxtrv.CA 917:15CA04RU447418 CAI)'1R2446882 CA1YNk0)7432
<br /> rgKt'n I:nt'.5 e. r'� vcrRrcq n Env.Svc, ❑ C'f�3 ❑ CPR ❑ GmenlutC linv.Nvt:,
<br /> Iht,l14 5.Sen P a, L ac A Wcxl Hettnnrvia W4 E,Sluusnn Avc• 33210 Wcxtem 1474 Toytin C'ircic
<br /> t'urxnn,('A 41 1h v)tu W,riu.CA 93454 Lux Anggeles,CA Q)l I Union City,CA 19587 vtdlry Sp ria x. I US3S�
<br /> CAD9111M 11 'AU482446N5R CAtd.9110021 C'ALtRM91507 CAI.tN10?14 11
<br /> SOIErCL`: CollL tI011 Station ❑Government Genernurc ccRifit that it has Cslahlish�J a pn,gnun to red,u a the rulwne u,,
<br /> quantity$a,Aicity of the hazard,ws waxte lit tli4 dcgrrr drter1111ned by
<br /> 0 Marine A►riculttlral ❑ Industrial gcnertlor to be ecennmically pracricahle,
<br /> I hereby cerdry that.1 have reed and have the authority to
<br /> R tall! sample # ` __ bind the above listed generator to the terms on the reveme
<br /> aldle of this farm. —
<br /> 17 Cd.
<br /> yer, I�?ntlttur ( Jn)t; �� neratnr' n -- 1--
<br /> B a rr anile Date'
<br />
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