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1 Ij V <br /> " i <br /> 1 <br /> vTr <br /> i <br /> 4, <br /> MAR 20 1991 <br /> ENVIRONMENTAL HEAL H <br /> PERMIT/SERVICES <br /> Evergreen Environmental Services Inc.dba INVOICE <br /> 005152 <br /> .�/ NO. <br /> U.S. WASTE OIL <br /> s <br /> 6880 SMfTIi AVENUE • NEWARK,CALIFORNIA 94560 <br /> fAfrNtIFEST#_� <br /> (415) 795-4426 <br /> y EPA NO. CAD 982413262 <br /> I t A hfernber of the Evergreen Group of Companies n <br /> ^^ "Medicated to the Protection of the Environment - �►y �.1 <br /> DATE <br /> — fes _-_i p".1 s . PHONE <br /> ZIP vS/�CJrt CUST It <br /> MATERIAL APPROX. GAL. PRICE AMOUNT <br /> ti WASTE OILS COMBUSTIBLE LIQUID NA1270 <br /> TSDF:EVERGREEN OIL INC P <br /> 6880 SMITH AVE. J -� - <br /> 1 <br /> NEWARK,CA 94560 GAD 980887418 TO TP10 <br /> I <br /> - 1 CERTIFY TFIAT I f IE AMOUNTS SFiOVJN ABOVE TO BE CORRECT AND THAT, - <br /> I ! UNLESS 0TH WISE N TED,THE MATERIAL-IS USED OIL.I ALSO CERTIFY <br /> 2;PAYMENT DUE THAT I HA EAD T1 -CONDITION INDEMNIFICATIONS ON THE ///.�'� <br /> 7 DAYS REVERSE F THI FORM UNDERSTAND AND ACCEPT THEM <br /> . fj�( <br /> S 'NATURE OF GENERATOR a /� I <br /> 7r4+,� Mail Copy with Payment V C/ <br /> i <br />