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1010812010 10:13 f AX) P.0341045 ,% Evergreen Endronmental Services® 616 2 Containerized Services dedicated to the protection of the anvirgrt nau To schedule a pickup, call Send payment to: Stiles ® . 800-596-9455 Evergrmen Oil, Inc. 68e4 Smith Ave„ Newark. CA EPMCADMA %3262 P0. BOX 30217 16540 S. San Pedro St., Camm, CA EPA# CAD992413262 Los Angeles, CA 90030-0517 Date: ~ GENERATOR/YOB LOCATION BILLING INFORMATION i ► ► , ==� r Waste Latex Paint Waste Latex Paint Waste Paint Related (Flaminables oil based) Waste Paint Related (Fiammablm oll based) Waste Aerosols Cans Waste Corrwive Liquids, a.o.s. Waste Flsmmablo Liquids, n.o.s. Waste Flammable Liquids, n.". Non-RCRA hazardous Waste, Liquid Non-RCRA "awdous Waste, Liquid Waste Liquids or Solids (Class Waste Oxidizing taqulds or Solids tr r Empty Drums Non Hazardous Water Non Hazardous Water Non Hazardoas Solids Non Hazardow Solids Glycol Bulk 50/50 Glveol Bulk Cant_ TSDF Evergm OilCPR 6880 Smith Ave , 33210 Newark, CA 94560 union 01 Source: Q Collection Station ❑ Government Industrial Retain sample ## Generator certifies that it has established a program to reduce the volume or quantity dt toxielty of dm hazatdous waste to the deg= detatTalned by getterator to be ocokwraically practicable. I hereby cer41b' that I have lead stud have the suffigrily to J�lgd the above listed generator to the terms on the reverse gidestf-this form. IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. Per California Health and Safety Code Section 25250.9, Evergreen hereby advises customer that customer's shipment of used all may be transported to a facility that is required to comply with federal regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities, California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process uacd oil also meet those requirements. These include more stringent leak detection and prevention requirements, en&eering certifications of tank integrity, and financial assurances for closure and accidental releases. Itis lawful to send used oil to out -of --state facilities that comply only with federal used oil management standards and not these more strin requirements, This notification is for information purposes only. Driver 14rnaturerini WArnp.. Rnrttp. iE Two n rot•nrRe Cicmat9rra VAnt Aroma rl„h® ,Ole i i ► ► , ==� r Waste Latex Paint Waste Latex Paint Waste Paint Related (Flaminables oil based) Waste Paint Related (Fiammablm oll based) Waste Aerosols Cans Waste Corrwive Liquids, a.o.s. Waste Flsmmablo Liquids, n.o.s. Waste Flammable Liquids, n.". Non-RCRA hazardous Waste, Liquid Non-RCRA "awdous Waste, Liquid Waste Liquids or Solids (Class Waste Oxidizing taqulds or Solids tr r Empty Drums Non Hazardous Water Non Hazardous Water Non Hazardoas Solids Non Hazardow Solids Glycol Bulk 50/50 Glveol Bulk Cant_ TSDF Evergm OilCPR 6880 Smith Ave , 33210 Newark, CA 94560 union 01 Source: Q Collection Station ❑ Government Industrial Retain sample ## Generator certifies that it has established a program to reduce the volume or quantity dt toxielty of dm hazatdous waste to the deg= detatTalned by getterator to be ocokwraically practicable. I hereby cer41b' that I have lead stud have the suffigrily to J�lgd the above listed generator to the terms on the reverse gidestf-this form. IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR OIL. Per California Health and Safety Code Section 25250.9, Evergreen hereby advises customer that customer's shipment of used all may be transported to a facility that is required to comply with federal regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities, California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of-state facilities that process uacd oil also meet those requirements. These include more stringent leak detection and prevention requirements, en&eering certifications of tank integrity, and financial assurances for closure and accidental releases. Itis lawful to send used oil to out -of --state facilities that comply only with federal used oil management standards and not these more strin requirements, This notification is for information purposes only. Driver 14rnaturerini WArnp.. Rnrttp. iE Two n rot•nrRe Cicmat9rra VAnt Aroma rl„h®