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08/21/2010 08:00 209836 5 BRKMSTRS#163 PAGE 06 <br />WORK TCE AGREENUM <br />Eve en Envirmutental Services NS555593 <br />dedioweef to tfte prorection e#'&e environment <br />To schedule a pickup, call Send pupRtent to- Sales Orft <br />800-595-9455 P'oil. Inc, <br />6880 sentth Ave., Newark. CA l%PAx CAD"24=62 Dept, LA 23234 ` ,r ,� <br />I6..UO $. San Pedro 9L, Carwn, CA i 0 CAD88241326'2 Pasadena, CA 91185-3234 mts, <br />C—'Ii.NRRATnR11C111 111CATTON S11LLING INFORMATION <br />I'RI(r UCT <br />ASTE T <br />coot NUbfl= <br />QUAMI•T1i UNM PRICE <br />� �P.� �..JM tom-• , ► <br />Used oil. Non•RCRA Havnrdous Lubricating <br />,- <br />Gat. <br />Waste, Liquid tnduRtrial <br />CA221 <br />Gal. <br />,� � . ,o rY <br />I'RI(r UCT <br />ASTE T <br />coot NUbfl= <br />QUAMI•T1i UNM PRICE <br />AMOUNT <br />Used oil. Non•RCRA Havnrdous Lubricating <br />CA2 <br />Gat. <br />Waste, Liquid tnduRtrial <br />CA221 <br />Gal. <br />UPW AMOCO" AAOft�, nO-acaA Mmftw <br />CA134 <br />Qa1- <br />1 + 1Mn60.50*1.I"K Al•ti_n' NA <br />t <br />Gal. <br />04 & Wakw, Non-RCRA Ha1Ardeus Waste Liquid <br />CA223 <br />Cal. <br />Non Hasardeus Water <br />Oal. <br />Waste Saiidn and Sludges <br />(W. <br />wash out <br />Each <br />Premm fthw/Stcan Cleaner <br />Day <br />TratispaMdon <br />3F1t7. <br />Fuel Surcitarge <br />Glyed Halk SW ry Product <br />Gal. <br />Glycal bulkow tSpec#y PMdua <br />Gal. <br />TES')` C1or A Tach 40M_AdQMM <br />❑ CIer D Tftil 1000 <br />)?ass ® Fail <br />Re&ilt 9Rmple # <br />Required _ <br />!meld service work OcKription: <br />Other: <br />Other: <br />Tot 0 Ch e"4 <br />Q <br />Z68 <br />Qr Consdidated Manifest DRIVER C 'T <br />UV mo i>:i, Inc. L' Oil, ]oto.. Dsvis 8vorgrcen CAI, lite. - ® 'limo in•_ � r1mtr Gvt <br />05mithAve, 3013 4139N.Valatit� Tunk(17tv1nPn+poily(aix3cd <br />Newark, CA 94SA0 )Ravi% CA 45616 Fmw CA 93722 <br />CAi798t1887418 CAI)98244074 �;7 H446882 ❑ Acaantalatflm Stan D11ir Mvrkud <br />,I <br />. Svt. ® (] Ryum King-Tank/Drum Clean <br />3 i SSm 74 AC44,- <br />Senora eln O Other Servisu,+Checked: © Oil. CI Flitersft)MMo. 0 Antii'mcm <br />Carson, CA 907 Santa Maria, SGA 93454 ❑ Gelled In otiur sumikvs nmlcd.3 vii. n .FlncrVDrUMt , C1,Anilfrecac <br />CAD"I CA1>48A4a6858 <br />Gena-ator nmdfiaa that It has ertablillhod a prograttt to r«V I= dtc wfhl = or <br />Source: OCollection Station ® Gbmil ment quantity & toxicity of un hazardous waste to tae deyft determined by <br />Q Madre D cultural 0 Industda1 genafsW to be ecatarnlaally practicabio. <br />bind �y last I itnv ,etrmd and hs�t$0, <br />c at o <br />side oU iiht'rh• <br />IMPORTANT NOTICE REGARDING THE D IT ION OF YOUR QI1G. <br />per Cafif$rgita Health and Safleay (Cade Section 25250.9, Zvergxeen hereby advises customer that customer's shipment 4f used oil MAY be <br />tl'3nsported to a facility that is required to comply with federal regulations applicable to, managcmipnt, 41 used ail, but tient is not required to <br />comply with the mars stringent requirer tents applicable to Hazardous writ+ t ujutgement r9eiJitics. Caiif<wnia facilities that handle or process used <br />oil are required to meet these mote stringent requrtGrrtents, ansa s4t»e out gi-gtAto fhcilities lilac pot ss used ail also trteat those 1cwhetiaartts. <br />Than include more stringent Nak detection an prevention MquirMents, engineering certifications ()(tank integr1tyt and financial nesurances for <br />aIand accidental releases. It is lawful to send uaed oil too=-of-ftati facilities tbat carriply only with federal used oil managernont stwWards <br />alt n these more atriaGent uire<nents. This notificatitm is for infarttt soft purposes <br />ver signature Print Name Route # 1)atc Signature Pat'lltt a Date <br />hAa1ilo f nm.�r',+etr.�r,pP P'n.`.• t3wV P 4M1d1.+••• r.,.,.• hp7nn 1 4.w r"--- n.•,.. •.._ _s .. r � • .+ �• - <br />