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2011-Feb-11 02:10 PM DSW AG 209-3" 4867 29/42 <br /> 4 <br /> y <br /> in <br /> WORK ORDER/SERVICE AGREEMENT <br /> Evergreen frommental Servicesa <br /> N_ 230801 <br /> 1•� � dedicated to the protection of the environment <br /> To schedule a plckup, Cali Send payment tot Sates Order� i / 1 <br /> 800-9725284 Evergreen Oil,Inc. <br /> 8880 smith Ave.,Nawark,CA EPA#CAPM413262 P.O. BOX 678252 /� — Z -2 <br /> 18540 S.ban Pedro St,Carson,CA EPA#CA0982413282 Dallas,TX 73267-x252 DItC:. <br /> GENERATORI OB LOCATION BELLING INF TION CASH❑ Cl6fJ;CK❑ <br /> .�// <br /> trCITY J J ST TF�. IP CO. C� J STAT ( CO. PO# <br /> PHO lY _ / PHONR NO. PI20FILR NO. 5T MLtR EPA ID N0. 44F <br /> PRODUCT WASTE MANIFEST QUANTITY UMTS PRICE AMOUNT <br /> CODE NUMBER <br /> Used all,Non-RCRA Hazardous Lgating CA221 Gal. <br /> LW' <br /> Waste,Liquid lnd atdll CA221 CW. <br /> Used AutomatWd AnutroaC Non•RCRA"—d" CA134 Gal. <br /> d cA <br /> RQ wino Cnmbuwbta Llquld,N.U.S.NA GaI.1�1 <br /> 199)In fall can—JA11Wrola Cal <br /> Oil&Water,Non-RCRA HaZardous Waste Liquid CA22I <br /> Waste Solide and Sludges Gal. <br /> Each <br /> Wash Out <br /> Drum <br /> Drained used oil Filters <br /> Non-RCRA Hazardous Waste Solids(oily debris) CA223 Drum <br /> Drum <br /> EmPa'Drums <br /> Has. <br /> Trans oiiatiott' Gal. <br /> Non Hazardous Water `} <br /> MT:[] Ctor D Tech 4000_PPM Clor D Tech 1000Pasa❑Fall ❑ Halogen DetectorMA=Test ❑Pass ❑Fall Total Charges <br /> Field Service Werk Doscriptlon: / <br /> Other. <br /> Men <br /> Vacuum Servkch>a Time <br /> Off Site <br /> Off Load Strut Off[sad End Return to Yard <br /> out of Yard On Site <br /> TSDF Consolidated Manifest <br /> Evergreen OII,Inc. ❑ Svargreep Env.Sva ❑ g�39N.Vaantinev. c ❑ <br /> 15 131 AIS Glark Ave. ❑ <br /> ❑ 6880 Smith Ave. Road 308 Fresno,CA 93711 Indus CA 91745 <br /> Newark,CA 94560 Davis,CA 95926 <br /> i CAD990337418 CAID992 46814 CAD4824468B2 GADO 97432 ❑ Greenleaf Env.Svc, <br /> Evergreen Env.Svc. ❑ Eversre�a�llpp Env.Svc. CFR CFR 3474 To on Qrcle <br /> ❑ 16604 S.San Pedro 743 A Yllest Bettaravia 944 B.Sleuson Avo• 33210 Western Toy <br /> on <br /> CA 90746 Santa M a,CA 93454 Los Ange es.1A 11 Cnion 0091507 94587 valleyM021 411 CA 95332 <br /> CAD981696420 CAD98 6858 Gonerator cartifies that it has established aaapmVm to reduce the volume or <br /> $puiCe: Cl Collection Statin ❑Government quantity&otba eof the nomically ptscu b�ty to the degree detetminod by <br /> ❑Marine (] A r'eultural ❑ Industrial I hereby certify that I have read and have the authority to <br /> bind the above listed venerator to the terms on the revorse <br /> Retain sample #,��' side of is corm. <br /> Driver S' ature not Na a Route# Date Genera or's Signature /.' I nt Name Date <br /> l <br />