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e <br />9 <br />F©P.M NO. AE5043 <br />SERVICE ORDER <br />wo NO. N 652543 <br />ASBURY ENVIRONMENTAL SERVICES <br />3CO S. SANTA FE AVENUE 0 Cok4PTON, CAU€tORN1A 40221 G (21MI 896-3400 <br />OIXON UNION C(! <br />1-804.777-7.874 EPA CA0028277036 140-gla-SeW <br />L%Ai c <br />CUSTDl�7ES3 " rr�t <br />BILLING ADDRESS � -- <br />ONETIME PICK UP <br />RESIDENCF <br />CYESar CNo <br />YES or C NO <br />CONTAACT CUSTOMER 13 YES yr C NO <br />PLEASE PAYFR <br />SERVICE ORD <br />GUSTOkIER NL MB <br />AMCUNT <br />GNECIC NUMBER <br />CROSS STREETS <br />NOiESc <br />r4ON-RCPA I•l.AZAPiU0USVJASTE, uQUID (USED OILf%IWE7 OILS) STATE CDC), 221 <br />No PL<ARB3 RP-0WRED' <br />CASH RECEIVED <br />gc;1Ji1 <br />Gl}MMl3DITY,�� <br />HALIDES tis d d PI''hi. <br />C NoN-Rp.RTAHAZA;jooLJ$ WASTF- L10U'ID (ETHYLENE ENE GLYCOL SOLUTIONS) SPATE COOP_ NEXTSERVICE DATE <br />•NO PLACARDS OA MAAK4NGS REQUIRED• — <br />L7 vTNER — __ r�Tt _ UAffL4M5 DRUM SIZE <br />MAN'FE5T NO. � `r,OF GALLONS �% O <br />LJMIVFR f _--___,_,__„'-,_/TRUCKg0d &F4T.� <br />0 NON 11AZARDOUS DRAINED USED GIL FILTCfi-- <br />0 COMMERCIAL FILTER RECYCLJNG, 33210 Weslein Averyue, Union C ty. CA. 510-487-9277 <br />is ALTEANATE FACWTV <br />DESIGNATED TSDF: 0 ALWISO INOEPENEIENT OIL - 6002 Archer StfGet • Alvlsc, C.A 95502 • GAL09ot51743 • (51 G; 4?6.1744 <br />C 9AYSLOE OIL N, INC, -210 Encinal Seat • Senra Crux. CA BSTISC • CA00668382n , (1331) 42%-3173 <br />EVeRGRFEN ENV- • 4134 N. vaferlhne Ave • Frasna. C1 g3TZ2 o GAL39e«44S8ta2 • (5i7y 795 444D <br />DIM[ENNO/WERDOON • 2MU N A;emeda Strsel • CMPVt. CA 902'22 • CAT(WOCi 3SS2 - {31n1537.7 00 <br />[1- DtK DL%iDN • TM C Myon Amy • Dtimn, GA 9582Q • CAT08QD12542 • C7471 693-W38 <br />RANDS SM, RONMENTAL , 1515 S. P%W Road + W. Saa merdo, CA 85691. CA04440T3665 .1,9161371-5747 <br />C ASSURy ENVIRONMENTAL SERVICES • 2549 SC011 Avarsve c0. 95928 • CA'LGOt1827844 <br />0 A! 7115ANA•TE FACILIN <br />UGED OIL 1150 AWnPRESU AND OILY WATER WASTE STREAKS ARE y r a nxt mrzk§ are prem cjssisnen. Cs:aihed, ozomme. marKed <br />i18CYCLED AT 4UA SISTER COMPANY DEMENNOMER BOON THE j Y' 2nd pre C0r1C7m Ar rwspwrarw. =3rdnv 10 W.7?U=.r. mqu; sucrt n <br />6AAg&ST itt:CYC"S OP USED OIL IN THE Wt9TEAN *MrrE4 STATES. Ore n ! T :It.. <br />•I t!. EREr]Y CEATIrr`t THAT I FtAYc NOT MD(ED TIJIS WASTE WTT4 ANY <br />OTHI?R WASTE. THAT THF TOTAL HAL113EJ ARE LESS `114AN 1000 PPM.: sftir:R °;'Gaff Ve'i ^--.�__—� '-J— <br />ANDT9HATT1It WASTY DOPS NOT CONTMN ANY P-C.B5-. �,, n �! '}f s 1 !n <br />n F pR-S;a P T11-5 W STt IS THE AUtTIT4DNA Cr!4Ai E9 FOA LEr4L r IfNF L l r i r'1 r`i+ IAF <br />❑!SP^.SRL I SMI<_ WAg-1✓ IS OVER y4tYS p P.k9 TOTAL HA00ES. QR ._.-.. PR�tsiruuE <br />CONTAIN$ ANY P.C.A-5 <br />