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10/26/2000 07:59 2093695797 ROSILEZ PAGE 04„ <br /> SERVICE ORDER <br /> No. M 326612 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN OFFICE <br /> 1-800-748-5744 EPA NO.CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 ^^__ <br /> DATE // _ �`C ONE TIME PICK UP 0 YES oho <br /> CUSTOMER V d L S I j n, i(s'1ci.��i `E' RESIDENT 0 YES or IQ NO <br /> /T— <br /> aILUNG ADDRESS CONTRACT N �,�,a>n t - CONTRACT CUSTOMER 0 YES oIt-� <br /> PHON(40 J 3b9 9-T/ CONTACT ACCOUNT NUMBER �}�^'' <br /> CUSTOMER EPA N •�/r s <br /> JOB SITE ADDRE33 CHECK NUMBER / 3 <br /> P.O. ER <br /> CROSS STREETS CASH RECEIVED <br /> (ANT) <br /> NOTES: COMMODITY C.J--eO ) <br /> HALIDES P.P.M. <br /> NON RCRA HAZARDOUS WASTE LIQUID(Used OIIsfMlaed 001)NO PLACARD REQUIRED <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID,CALIFORNIA REGULATED WASTE ONLY <br /> (Glycd 6 Weller)NO PLACARDS REQUIRED NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. -7A NO,OF GALLONS <br /> DRIVER <br /> y � TRUCK NO.8 RF. <br /> ❑ NON HAZARDOUS DRAINED USED FILTERS <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENOENT OIL-6002 Anther SL,-ANlso,CA 95002 <br /> ❑ BAYSIDE OIL 11,INC-21 0 Enclnal St.—Santa Cruz,CA 95080 <br /> ❑ OTHER FACILITY <br /> ❑ DeMENNOIKERD0014-2000 N.Alamoda SI.--Campton.CA 90222 <br /> ❑ OCS--9258 N.Marka St.—Fresno,CA 93722 <br /> OS ENVIRONMENTAL-1515 S.River Rood—W,Sacramento,CA 95591 <br /> This Ie t0 certify that the above named wuclee are properly Cla9eified, described, packaged, <br /> marked and labeled,and are in roper condition for trarleportatbn,according to the applicable <br /> regulation"of the be Tran n. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THI3 WASTE WITH ANY OTHER WASTE,AND THE <br /> TOTAL HAUDES ARE LESS THAN 1000 P.P.M. COSTOMER SIG TUBE DATE <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL y <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE A <br /> IS OVER 1000 RP,M.TOTAL HALIDES PRINT NAME <br />