Laserfiche WebLink
1010812010 10:12 fa P.0321045 <br />JF Ah A 0 WORK o vICE AGRUMIENT <br />1-110, Eveigmen Enviniinmental Services N2550961 <br />dedicated to the protection of the environment <br />To schedule a pickup, caul Send Payment to: Sales Order # <br />800596-9455 EvaWecn Oil, Inc. <br />6880 Smith Av®., Nw,%wk, CA EPA# CAD992A 13262 Dept. LA 23234 <br />16540 S. San Pedro St., Carson, CA EPA# CAD987413262 Pasadena, CA 91185-3234 Date:f � �40 <br />GENERATOR/JOB LOCATION BILLING INFORMATION <br />..III <br />I! It 1 <br />� <br />�®_ L <br />li SII <br />yj 7 <br />Tq <br />..III <br />I! It 1 <br />� <br />�®_ L <br />li SII <br />Retain ..# <br />sample <br />Required <br />a -7 <br />a'MA <br />1 <br />TS [ Consolidated Manifest <br />EvergTe®a Ofl, Inc.® Oit TIS . Davi' <br />1—t E Oel, Inc. - Fneano <br />6880 SmithAvc. Roa 30B t_! x139 Valattise <br />N wank, CA 94560 Davis, CA 95616F�rreessnnoo,, CA 93722 <br />CAD980987419 CAD982446874 =42444882 <br />n EvCrgtrcn Bteea0➢ Itic-SaenlNmia® <br />t J 16604 S. San Pel 7445iA Wast B®avis <br />Carson, CA Santa Maria, CA 93454 <br />CAD981 CAD982446858 <br />Time It Thn 1 t <br />Thnk/Drum Properly Labeled <br />Accumulation Start Date Marked <br />House Kceping - Tank/Drum Clean <br />Other Services Checked-. O Oil, ❑ !alters/Drums, ❑ Antifreere <br />in older services needed <br />ki <br />Generator ccrp6es that it bas established a prone to reduce the volume or <br />Source: Collection Station ❑ GOvemment quantity & toxicity of the hazardous wasm to the degree determined by <br />❑ Marine ® 'cultural ❑ Industrial gwarator to be a moaticaliy practicable. <br />hs Giggft that I have read and have the M it ' to <br />hind the above listed generalot to the terms an the reverse <br />side of this [arm. <br />PORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. <br />Per California Health and Safety Code Section 25251).9, Evergreen hereby advises customer that customer's shipment of used oil ma be <br />transported to a facility that is required to comply with federal regulations applicable to management of used oil, but that is not require7to <br />comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or process used <br />oil are required to meet those more stringent requirements, and some out-of-state facilities that process used oil also meet those requirements. <br />Th3noese <br />ude more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurances for <br />cloaccidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards <br />anmore stringent req ' ents. This notification is for information purposes on <br />Signature acne Route # Date n tpr S nature Pri t Name Dat <br />1Alhi,n r'.nnv-t:uelnrner /",+..,, - 121..1, A V il.,,., r......_noaG..., i 1.... n....._ n..... <br />