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2011-Feb-11 0210 PM DSW AG 209-339-886 35/42
<br /> WORK ORDER/SERVICE AGREEMENT
<br /> / Evergreen E vironmentaa Services
<br /> 41/h Islet/(r,r rt'Pre,h'(7ln)r n r1
<br /> le fr�.nrirururtrN N° 116998
<br /> Te schedule pickup, call Send paymew to:
<br /> 800-97 -5284il, Sait;ti Order
<br /> 68110 Sml(rt Ave.,NawFlrk,CA CP C 0982413282 E.v n r(tt S7 Inc
<br /> 16540 S, Sen Pndro St.,CSrBnn, CA F Ate CAD982413262 Lm Angeles, CA 9(1(184-24,,57
<br /> GENF. ATORQOB LOC'ATIOI' BILLING} INFORIMATION Dutch
<br /> NA
<br /> C CASH Q CHECK Q
<br /> r AD 'SS
<br /> ® I us1'onaF DE
<br /> C1 — 5" CO, T'rY
<br /> 5 ATE co Po k
<br /> P IU
<br /> PROFTLE , A.
<br /> !'kOt)ucl, I wASTh; MANIFEST
<br /> -_ C01w NUMBNR QUANTITY UNITS PRICE AMOUNT
<br /> Used nil.Nun-R('k:\ Fla7nrduw Luhrt''ealing+- UA221
<br /> Gal.
<br /> W'astc.Liquid _ hlJut+lriul CA221
<br /> 1*-11:\nbutaxn'v Amlfr.n•n•.N„t.NI'N�IF,...,.d.,.r-� ..� e3u1.
<br /> N' Leu°it (':-131
<br /> 1'wl Nl,xmianiinm.J 1N In.•n„ r'Az'1
<br /> OII��lVrlar.Nun•R('kA Haiarduu�W:Weigwd C',A221
<br /> - --.. _ Gut,
<br /> waste Snlid.x and SIudgut: ----
<br /> Wsh Out Gal.
<br /> u
<br /> Each
<br /> Drained Used Oii f�iltcre
<br /> Drttrn
<br /> Nan-RCC,,%Ila>.anloua Wash SnGdx I,lih dt'I risl C'A221 —
<br /> Drum
<br /> E,npry Unum -- �-'1•
<br /> - prurn
<br /> rf;1118t,1,rt4111,n �-
<br /> ftrx.
<br /> Nrm HnranJnus W'atrr
<br /> Gal,
<br /> T}i5T;0('Inc 1)TLtih 4(Ibll—_�I,ptt1 �J(•lar U'11'\'h I(I(XlL par�] 71 i',,il n
<br /> �_.. .O. ,aaL- H11109un DetWor/Flame Tea []P,Is> ❑Fail
<br /> Field tie-icc Work I)CS�rirEinn:
<br /> Total Char tea
<br /> Vacuum.Svrvicux Ton.
<br /> abut Oil','tv (1f”Laid OIT Load End_
<br /> TSUF� -•---_. �.___ kdurtt to Ynnl
<br /> Consolidated Manifest
<br /> hverEnwn Oil.Inc. I:\'eyrccn fir c,Svc, Evergreen lim.Svc, E AIS Filter ❑
<br /> 4ftX1)Smith Avc, kn;td tl)$ 41 iU N. V111cntin L_ ISIJI Clark Avc,
<br /> Newark,CA 94.1(4) Davis,C'A 9.92lr Fresno.CA 9371) c
<br /> CAD4S08X7418 CAI)4814.11 71 , 2 Induary,CA )1745
<br /> (',\I)4X_1JhXk. ('ADEN}(X197431-
<br /> LJ I'vwgmen[im,Svc. Iiwigrf'ea lin'.Svc. C'IrR -T
<br /> LJ IGIr(l�
<br /> S.San Pedro 715 A Wcx{ ctturnvia �-] 444 li. tiluur;.,n A' . lw 1474 lcayt'Env, els!
<br /> Carron.C'A 9t174r, S:utta M1taria, :> 93454 [.os Angela,CA 9(X)1 I Union City,
<br /> (A 94987 Vull yyT9pptri�(1tts�rC�A 99392
<br /> CAD9XIM0420 - CAp9(i341hX X t'A_l.11(X_)11111121 CAL1XMt(n11S07 CAhtk)0214411
<br /> Source: J Collection S Genennnr rertilics Thor it has cxtabNnc�d r ro ram w
<br /> EltfiOn iJ Gclvernmenl P tt rcdur:c the volume or
<br /> quantlty K toxicity ol'thu hatAntuuN WIVE In the tICEroe delcr111llied by
<br /> U Marine J q ieul ura! J Industrial genenttor to he acunuFnically practicahlc.
<br /> I herehv certl that I halve road and have the authoiltY to
<br /> bind the abav listed generator to the terms on the royersc
<br /> Retain sam ie #_ —.—
<br /> Drive in\tur� f'r' t I ',une Ruutel>t Date Ge ator's ) ature Print Tarte Date
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