Laserfiche WebLink
10/08/2010 10:01 fAX) P.01 11045 <br />WORK ORI&SERVICE AGREEM T <br />Evergreen nvironmen l Services° ? 712 <br />dedirvired to rhr proteerion of the snviroremenr <br />To achedula a pickup, call Smd payment to: Sales Order # <br />800-596-9456 Evergreen Oil, Inc. <br />tStW Smith Ave.. Newark, CA EPA# CA0982413282 P.O. SOX 30317 <br />t 6540 S. San Po&o 81., Canon, CA EPA# CAD9824i 3282 Los Animles. CA 90030-0S 17 -vs <br />PRODUCT <br />WASTE <br />MANIFEST <br />6vetgtpr`n oil. Inc. <br />6880 Stnith Avc. <br />CODE <br />NUMBER <br />Used oil. Non.RCRA Havardrws Lubricating <br />CA22 <br />Davis. CA 9.561a <br />Wase. Uquid Industrial <br />CA221 <br />A. etw ,u nv,,.. ,w,w;WkA Hamdod. <br />CA 134 <br />CA 7432 <br />wt :9ntM1dt8W 1 t NA).w \q <br />MMI <br />Oil & Water. Nor,-RCRA Hw ufts Waste Li aid <br />CA221 <br />Wage Salids and SludV4 <br />Wash Out <br />DralaW Used Oil tethers <br />Non-RCRA Hazardous W4gM Solids tatty debris) <br />CA223 <br />13mtxv Drums <br />Ntnt Hazardous <br />GIvm1 Hulk <br />Conc. <br />oul. <br />Gal. <br />Caul. <br />Gut. <br />(jai. <br />TEMr� <br />�JiSl1a <br />ME <br />TBST:[jClor t) Tet:h 4t m ❑ Clor n Tech I1M10(6Pas9 ® Pail 0 Halogen DetectoOPlam <br />Field Service Work Dexnriplinr: <br />Ott,ar: <br />Other: <br />vacuum ioC+ Time <br />Out ill' and on Site Off Slte off Load Siert off LaudEnd <br />PRICF. <br />0 P33.s ® Pnil <br />Yurd <br />F17,1e161 6 tl <br />err <br />L✓1 Coimlitdated Manifest <br />6vetgtpr`n oil. Inc. <br />6880 Stnith Avc. <br />EVm'lFreen lrriv. Svc. <br />Road 3013 <br />ilVergreeo Fstty. Svc. <br />4t3e N. Y21011110 <br />❑ AJS Filtor <br />Newark, CA 95560 <br />CAD98W'741s <br />Davis. CA 9.561a <br />Frunn, CA 93722, <br />15111 Clark Ayr. <br />CA 91745 <br />C:AD0824461t74 <br />CAD992446982 <br />CA 7432 <br />® ];vergrcYn Env. S I`1 Svcrgt n Env. Svc. `I CFR ® CFR r"j GnmNearEny. Svc. <br />166114 S. scat IJ las A Wwst eatterayia u 944 E. Stauwn Ave. 33210 western u 3474 Toyon Circle <br />Carmm, CA 9 6 Sunlit Muria. CA 93454 I -M A�n�gpies, CA 9(101 I Union City. CA 94M Vullty BEEmhgs, CA �JSasz <br />CAD9a169 t CA[)9ti244685R CAlax1110021 CAL(1000913i17 CA1.(1I)(1y14A11 <br />Source: 2TCollection Station Q GovernmentGenermor cInifft Ilia' ,t luu. 4stablidted it pnrgruin to redum the Vr4urrie Or <br />quantity & aoxl<tty of the 11444u c)ux waste lit the dayree &,tormined by <br />Marine Q Agricultural Q industrial s:herator tel Ix economically flewtkable. <br />I rebv certify that t taave read and have the authority to <br />etain sample /1 - Wpd_the above listed nerCor to the terms on tk revem. <br />"fir Side of this Eurm. <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />Per California Health and Safety CtWe Section 1S250.9. Fsvc+ween hereby ndvises cuktutner that eu%lomer',.:shipment or used oil may be <br />tt'antcpvrwd ro a t'Wility that 1.4 required ter Comply with t'ederal regulations applicable to manopcment or usw- oil, hilt that is not required to <br />ramply with the mote stringent requircntentx applicabia io hazardous waste munageinent fd0litiec. Culirurnia facilities that handle or prtkx,a uvwd <br />oil ere required w mace those molt: ctrinyvnt requirements, and some out -Of -state raciliities that process used all tdM► nteet those mquirement.. <br />These inc-luCla inure stringent leak, detection and prevention requirements, engineering certilivations of tank integrity, and litianvial uhnurunV9s For <br />closurs acid aeCidental reteuscs. It is lawful to send used Oil to out-uf--xtate facilities that u►mPly only with rpderal'uxed ail Inanagentent ,tundtud,, <br />:and tht:xe more stringent rt:quirt:mentA, This nodfletition i, for information purposes nni <br />Dri r Sigltaturt: Mint Mame Route # Date ., <br />