Laserfiche WebLink
1010812010 10:11 IMAX) P.0301045 <br />Ah <br />WORK ORDAftERVICE AGREEMENT <br />Evergreen Environmental ServicesN-O 551496 <br />dedicated to the pmreciion of dw onvirommat <br />To schedule a pickup, call Send payment to: Sales Order <br />800-596-9455 Evergreen Oil, Inc. <br />6280 Srdidi Ave., Newark CA RIP" CAD952413262 Dept, LA 23234 <br />1040 S. Son Pedro St., Canon, CA EP" CAM22413262 Pasadena, CA 91185-32,34 Date: —7.2— Ica <br />PRODUCT WASTE <br />CODE <br />MANIMT QUANTITY <br />NUMBER <br />tNITS PRICE AMOUNT <br />Used oil, Non-RCRA Hazardous Lubricating CA22VA12F&lb' <br />P <br />Gal. <br />Waste, Liquid Industrial CA221 <br />Gal. <br />U&edAamiw;ftAn0ftw- Non-RCRA <br />Wam LARSLd 0,134 <br />Gal. <br />Foal <br />Gal. <br />OU & Water. Non-RCRA Hazardous Waste Liquid CA223 <br />Gal. <br />Non Hazardous Water <br />Gal. <br />waste Solids MW Sludges <br />call <br />Wash Out <br />Each <br />Pressure Washer/Stearn Cleaner <br />Day <br />Transportation <br />Biel Swamp <br />% <br />Glycol Bulkpacify Product <br />Gal. <br />Glycol Su 1Sptciiy Product <br />Gal. <br />V14T. [A'Clor D Tech 40Dffa4&.ppm Clot D Tech 1000 <br />Pass E] Fail E] Pass ED] Fail <br />Retain sample # <br />Reguired q J*I 17 1% <br />Field Service Work Description: <br />Other. <br />Other, OR <br />Total Char es <br />TSD Consolidated Manifest DRIVENQ�HECKLIST <br />ff = Oil, Inc. bc. - Davis <br />6 6 v1=011 143179NMOIZ--presno 0 m10111---'I'llneout <br />as SnilthAve. 11 L 308 <br />Newark, CA 94560 Davis, CA 95616 F 93722 0 Tunk/Drum Proporly Labeled <br />CAD9808874JS CAD9VA46974 C TV9006882 0 Accumulation Start Date Marked <br />E OUSIC Keeping - Tunl;/Drurn Clean <br />Seas P S 0 Other 5erviccs Cliccked: 13 011, CJ Filters/Drums, 0 Antifreeze <br />Svc <br />Clltson <br />CA 909 Saasta Mara, CA 93454 <br />0 Called in otlicrserviccs needed C3 011, Lj Fitters/Drums, Q'AnjjFrcczc <br />Generator wrtiflas that It has established a program to reduce the volume or <br />7dColiection Station Q Gowmment quantity & toxicity of the hazardous waste to the dr91'= determined by <br />El Marine Q Agricultural C3 Industrial generator to be economically practicable. <br />v gatift thM I have read and have the gothorlty Ig <br />bind the above listed generator to the terms on the reverse <br />side of this farm, <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />Per California 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 is required to comply with federal re&ulations applicable to management of used oil, but that is not required to <br />comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or process used <br />oil am required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those requirements, <br />hejjncldde more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances for <br />.,, <br />and <br />n accidental releases. Ir. is lawful to send used oil to out-o&state facilities thatcon I only with federal used oil management standards <br />and ore stringentgequirernents. This notification is for information Purposes y. <br />*j I y <br />For— <br />Dffer Signature Print Name Route # Date On-eWej AgnaWree Print Nahe Date <br />I %AfhT+. 1-- 0.1, 0 V-11- f4 -.,.r%4;;- 1 1.. ^.- A.. --1.....--!e-.. <br />