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1010812010 10:11 <br />fA)} P.0291045 <br />WORK QR SERVE AGR T <br />ve reen Eiwi-ronmental Servims <br />dedle-i 'd to the P►ra/Wierrt of the envim menr <br />To schedule a pickup, call <br />800-596-9455 <br />"IM Smith Ave._ Atnwark, CA EPA# CAD9s2413a62 <br />16540 S. San Pedro Se„ Care .CA EPAO CAD 42A i 3262 <br />Send payment to- <br />Evergtn oil, Inc. <br />P.O. BOX 30217 <br />Los Angeles, CA 9003D.0517 <br />Sales Order _ <br />Date, <br />CASH ❑ Ck' <br />DRE93 +t <br />ADD S CElBTOMSR 1 <br />X 8 ATE ZIP CO. CITY S'T'ATE ZIP CO. 120 # <br />• •"�' - � tom_ ..: � ., <br />`vyr <br />Evergreen Olt, loC, jj----�� F-Mveon Env. Svc. <br />tt880 Smith Ave. L.J Road 30B <br />Newark, CA 94560 Davis. CA 9561b <br />CA 741& CAD982446874 <br />LJ Consolidated Manifest <br />Evergreen Em, Svc. <br />4139 N. Valentine <br />AJS Filter <br />1:1 <br />Preano, CA 93722 <br />CAD992446882 <br />15131 Clark Ave. <br />Industry, CA 91745 <br />CA 432 <br />Svergreen Env. Svc. ("""1 Ever�Crt Env. Svc. [] CFs CFR �'`'� Cret nkat Ben+. Svc, <br />L 116604 S. San Peden L..J 743 A Wost Betteravia t_ 1 944 E. <br />5lattgon Ave. ❑ 33210 Western t_ ._ t 3474714yon Circle <br />Carson. CA 90746 Santo Maria. CA 93454 Los Attggooles, CA 90011 Union City. CA 94587 Val1ey 5�a 'njr% CA 95352 <br />CAI79S1696421J CAD982446258 CAL.00a110021 CAt=W1507 CAL�i(12y14411 <br />Source' ❑ Collection Station 0 Government Generator certifies that it haft established a program to reduce the volume ur <br />quantity & toxicity of the ha/dadauR waste to the degree determined by <br />® Marine Q A iCtlltlltal ®Fndustrial L bvobetecono icully practicable, <br />have ser <br />boo <br />—Ti7l r.�h4lijT <br />Retain sample Af hind flee above �gLed li�Ctltslr to the r Q on,t rs <br />ddaAtddLk= <br />IMPORTANT NOTICE REGARDING THE DISPOSMOIN OF YOUR OIL, <br />Per CaUforx318 Health and Safety Code Section 25250.9, Evergreen hereby advises customer that customer's shipment of used oil may be <br />transported to a facility that i.5 required to comply with federal f0gulations applicable to management of used oil, tett that iu not requited to <br />comply with the more stringent requirements applicable to hazardous waste management facilities. Califomia facilities that handle or prewass used <br />oil are rcquitod to meet those'more stringent requirements, and some out-of-state facilities that process used oil also meet those requirements. <br />These include more stringent least detoction and prevention requirements, engineering certifications of tank integrity. and financial assurances for <br />closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards <br />and not the.®e more stringent requirements. This notification is for information purposes only.,; <br />K A <br />Diiver Sionatllre. Print WRMP Reeeerw $ Ro4® !w a.a,r..re C:....n...«. f^ rem .. UT F n . <br />