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1010812010 10:01 TAX) P.0101045 <br />Evergreen Envil <br />Services; ental C ,� _ 1COciftlaftilted ..— <br />drdicateW ro rite prorecdon y'tha-4 enviremmant <br />To schedule a pickup, call Send payment to: Sales'tdder # <br />00-596-9455 Ev oil, itis. <br />tsaeo smith AV4., 1Vewa►k, cA ePAY CAM241$02 P.O. BOX 30517 <br />1W40 S, San Pedro St., Carsoth, CA EPAR CAD=4i38®2 Los Antteles. CA 911030-0517 T1Q•o• <br />Waste Latex Paint <br />Waste LOX Paint <br />Waste Paint Mau <br />Wasto Paint Rete; <br />VV age* iva UquI48, th.o.s. <br />Waste Flammable Li uids, 11.0.8. <br />Waste !�lemmable LI aide, n.o s <br />Non-RCRA Hazattitwe Wwft, Liquid <br />Non•RCRA Hazardous Waste, Liquid <br />Waste Toxic Liquids or Sniids (Class 4) <br />Waste cbcldizing Liquids or 3011da <br />Drained Used Oil Fil <br />Em t Drums;7e <br />a <br />Non Hazardous Water <br />„ <br />Non Ha7.asT(k)u6 Water <br />Nott Hamrdous Solids <br />Non Nguatrdous Solids <br />Gi col Bulk 50150 <br />QIYQOJ Bulk Cons. <br />TSDF <br />Eworgreen oil. Inc._'' CPR <br />t ASto Smith Ave. 33210 Weuern L, i <br />Newark, CA 44 W Unloe City, CA 44587 <br />CA1>9$08R7a a s rat nntuta t 4M <br />tfiifl ." <br />Generator that it has cstublished a ptugrom to rcdm the volume or <br />SOUiCC: ®ColleCtiOri $taYiOri <br />ytramity R toxicity of the harerdtnw waste to rltc degree determined by <br />® Marine 4 Agricultural ❑ Industrial Viltmor to be economically practicable, <br />hemby coaft that I have read tad have the autwWX to <br />Retain Sample # bind the above HaW 2erientor to the tertM ort the revesse <br />de of this tottltt. <br />IMMRTANT NOTICE REGARDING THE DISPOSITION OF 'YOUR OIL. <br />Per Callrornia Health and Safety Code Section 2,5250.9, Evergreen hereby advise& customer that cuslornees shipment of used oil may be <br />transported to a 6 cility that is required to c Amply with 1:+tleral rogulationx applicable is tra�nagement of useel oil. but that i, not required to <br />comply with the =e", <br />arc vtrtngent requirert>gnu appliaabie to hazttrdaUs waste management facilities. Califumlu facilities that handle or prncesh tired <br />ail art: rreeyyaired to meet those more stringent requirements, and some out-of-state ecilitia+ that process used oil also meet tha.e requirement%. <br />These inc Ludt more striageat leak detertran and preventipn requitemmettts, engineering eertiflcatio s of tank Integrity, and financial tzssuron<�t for <br />closure and accidental mleasea. It is lawful tri rend used oil to out-of-state facilities that ply my with f era] used oil management standards <br />d not thou tny�t stringent requirements. This notiticatiun is for inforrtlatlon purposes on , <br />ivrr Civng; nirP Print Numo <br />