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2011-Feb-11 02:10 PM DSW AG 209 -8867 25/42 <br /> WORK ORDER/SERVICE AGREEMENT <br /> Evergreen vlrirnrtroc1lnnnMrentai Services <br /> III'dit-tiled!rr/Ir' f br N-0290221 <br /> 'i'0 schedule 1,pickup, call tienrl psl�meat tn; <br /> 500-97 -5284 <br /> Evergrcen Oil, Inc. <br /> 8680 Smith Ave.,Newark,CA EPA#C409132413282 P.O. BOX 678252 <br /> 16540 S.San Pedro St.,Carsnn,CA E PAd CAUDS2413262 Dallis.TX 75267-82,12 <br /> G F.RATOR/EOB LOCA-TIODatc' <br /> BILLING NAMINFO TION- <br /> NAMECASH CRISCI{ <br /> .S ADDRESS <br /> _ ER <br /> Cd CO. CITY S 'ATE <br /> PR F: r / ( PRO E NU. PR FILE N C 'T <br /> PRODUCT WASTF MANIFEST <br /> —T� CODIC NUMBER QUANTITY UNITS PRICE: AMOUNT <br /> Used oil,Nan-W(V HntanGRtx �l,nhrleutinp_ C'A331 Clal- <br /> Waxtc,Liquid In uxtrinl CA221 <br /> t rel 41,x AMDavr.Non al'NA - C.A I Z� rile <br /> water 1, IL,pnLnn <br /> WON' <br /> U'll"d N -- � Gal. <br /> 4 t III rt11 , inntnl <br /> Gal. <br /> Oil fi Water,Nom-RCI?A H110-dot's Waste Liquid CA221 <br /> -- ,....� <br /> R' l. <br /> auav 8alids and Sludges c <br /> W- Gal. <br /> Waxh Out <br /> --• <br /> Drained Uxed Oil hiherx — F.uch <br /> _ Drum <br /> 4011-14CRA Ha%ANaa,<WrlxrC SUhdx(nit4' 'ttryxl CA223 <br /> Dtvm <br /> Empry Drum. - — --- �.. -- Drum <br /> Trnnspnn;ltion —_ <br /> Nun Hazardous Witter <br /> Glycol Bulk .101511 - Gal. <br /> Glycol bulk --enc_ ,-_.._ _._. <br /> TEST[] CEar D Tech 4fWN)-._ppjjj ('lir U Toch I0000Piss Q 1011 Haingtn Detuernr/nume Text []Pa+. �Pnq <br /> Field Sc'rv'he W"ori:pescriptian, -— <br /> other: <br /> Other- <br /> 0 <br /> rhvr <br /> Time <br /> Vacuum Sorriccs Tiatc_ -- - ---- <br /> _..---- <br /> - ". <br /> Out,+1 a _�—OnS'14; (I I'Sia -_(IIT Laat Starto <br /> --- <br /> -- --• --.--.-._..___ Off Load Find Return to Yana <br /> TSDF [� Consolidated Manifest — <br /> n Fvergrrcrt nil.Iii. f-� Pavr;roon 1'nv.five. l:err,"rrrn Friv.five. AIS Filter <br /> _J r,M),-Smith Ave. L.._ ♦tu;ld 1116 �� tl 10 N, Valentine ❑ 15tH Clark A+'c, ❑ <br /> Newark.CA 9490 Itavis.VA 4;hlh llrecno,CA t)?772 Industry.CA 91745 ` <br /> CADWORM18 CADY82 r87J t.'Alrsri?34hriri: CADO&W74-111 <br /> ❑ I`.ecrEn'cll 1111 Svc, 7.41 1!n'eu ittr,Svc. 1 (11t CPR ❑ Grrscnloaf I?nv.Svc. <br /> Inr,iu S. Sin Volt", l '1i r1 1Vr r neltrnn•ip J 4.11 1?. .Cloonan Av 332 10 Western 1471'foyon('inlc <br /> Carson,CA 007;; S:H,t.'1 1Ii1ri 1.CA y11S4 Lox Art'olcx.C (1111 I Union Cilyy C':1 Ui5R7 Valle $ ringx,('A�l$t.52 <br /> C:11)t)SI(,'I(d7(1 ('Ah't5'a r,ri.1H -- .t.',1I.IHI�IIpI ('AI..IYXAi5n7 C'AL�NII)�14 I1 <br /> ( I)�ICe'li(1n Slatlln �]CtltVt:rtll)1L`nl <br /> Generatorcenlllex that it hex astnhlixhed a rog <br /> generaim U,e cc-I)of the Iturlrrlou>wastr f,the e r <br /> ram ut ret ace the d by ,n <br /> . . . quantity e dcgnt:delerinined h)' <br /> �. � MaI'I11C f� �1gr►c lliural i_,) InduStrlal � �, to he economically rntctil:ohle. <br /> _ - _ yr the uuthorltS• to <br /> Retain sam # side of hind the above <br /> fnrm!i4ted ctlCrator to tl c tcrsns nn the rtvcrrte <br /> _4e4 <br /> — 2 <br /> Dilve10 <br /> r L1latufC - - --- <br /> rnit ;inn nil c. E)�lC CI(nll'at(tr's Sir tl u -- -- <br /> b Print Nome Date <br />