Laserfiche WebLink
196/21/2010 00:00 209836. 5 BRKMSTRS4163 0 PAGE 05 <br />1WORK OMIER/sERvICE AG 'T <br />Evergreen Emironmental SOMM NQ 584931 <br />dedic'ared 10 rhe proaecrien taf rhe enW m antoo <br />To SOedule a picltup, call Sod payment to: Sales Order # <br />800-598-9458 Evergreen Oil, Inc. <br />Dept. LA, 23234 �y7 ,�� e. <br />6tiPA ,z Q Ave.. Newark. CA EPA# GAt7gtt9al 1924 � date: _ <br />ales .a o-., a..i.., si.. Graon_ CA EpA+r CAt?`�'4 t 32&2 p'a8adtma, CA 91185-32M - "" <br />t Rx -SM"13 <br />7Et3 A Wm1 �enemvia <br />Santa Maria, CA 93454 <br />Geav*or txrtifto that it has establ3alted a program. to verruca vie volume <br />guamity & toxicity of the hazartlous wane to the dt$mla determined by <br />Scnerator to iia economically prat tlarhle_ <br />tt harebv certlf -that i have read andMve the attltl3 to <br />RTANT NOTICE REGARDING THE JDWWMON OF Y013R OIL - <br />Per California two and Safety Code Secdon 25250.9, SvMreen hereby advises customer that customer's shipment of awd oil -may be <br />wan;sported to a faellity that is rcquuod to comply with fecwrRl regalafion applicable to management of useec! ail, but that ix not We or pr <br />to <br />mpiy with the --sore stringent a�uirements vplicable to bvmdaua Waste management facilities. California facilities that handis or process ussd <br />rt quired to meet those more stringent requirements, and sonic oat -cristate faoitifa that process used Oil also mot those repalrot rrts• <br />ttelude more gp ingest lrslt darecervtr arsd preventivrr regajrer(Dnis' engitncong certification$ of. tank integrity, and financial assurances for <br />accidental retemc.5. it is lawful to wd utsed tail to out-of-state fanilldea that c ly only with federal vAcd oil management standards <br />toora strinocnt moots. This: W)tiftt:ation iS for ipfgMadon p <br />is;� -2,14— t�o A—M—m— <br />Print Name Roa[e # bate or', ignature Print Nav& Date <br />