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<br /> R' � � ' ' _r .. '.::::'•:.. . ' :.: � � ' ... :.ri:ITRUCK NO.St�.:�_-=.CS
<br /> Sep-22-10 10:57 From-% Dixon/AES ITOT6782330 T-046 P.011/013 F-094
<br /> SERVICE ORDEI
<br /> No. N 607179
<br /> — ... ... ASSURY-ENVIRO1NMENTAL'SERVICES
<br /> f30O $.SANTA fE AVENUE G COME T(J.W. CALIFORNIA.90221 0 {310)886.3400
<br /> SAN DIEGO OFFICE - NORTHERN CALIFORNIA
<br /> 1-500.7483744' .. i&PAGADO20277A36 I-BOD-727-2679
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<br /> ' .... �;r ` ;l� L•.ii:! '-Irl v.-,.:•, •. ..
<br /> . .l.0 � f4. ...
<br /> Il'c. . ) ONE TIME PICKUP "'OYES or ONO
<br /> DATE 0.4- !„ r„•. . l' .
<br /> CUSTOMER /7.�4•:.Y ��r-.e. / ,•- 1 t RESIDENCE ❑YES or O NO
<br /> BILLING ADDRESS "7tyt _. -
<br /> CONTRACT CUSTOMER • O YES or O NO
<br /> J -7cr, •-Jr r 'l y� 1�TG ,::•Pi:EASP PAY FROM THIS
<br /> PHONE_ �� i-; Cl- CONTACT CUSTOMER NUMBER
<br /> CUSTOMER CPAx wAM0UKT'. ...., ,`1-�j,•=
<br /> JOS SITE ADDRRSS .:/! • r • -
<br /> .sf.1lCr14EQK'NUMSIER.—1 ,
<br /> .. : L•.+!.n' 4:1. ::I fqk '.rl ilJIi I(Aia: IU..1 b; .. ..... •.is.,.nl .:/J(4i::.:pv ' , ..
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<br /> CROSB2S'�Ti,TEE,(15.
<br /> r no l'r:OA> arl 0;',:
<br /> NOTES;
<br /> •rjAU„•�ES�,�.n P.P.Y.
<br /> oIy t�GfiA MAZr1RQQU$WA67E,LIQUID.(USED OIL/MIXED OILS)STATE COOS "221 '` ""!"
<br /> -NO PLACARDS FISQU,RED. 47U4:rKk?v)rorli7,L:::;(:d,
<br /> .an idl:ai(ggc-K'd b971ifplivu Uu.t D lit
<br /> O NON-RCRA.HAZARDOUS WASTE,LIQUID(ETHYLENEAWC04S4,LUTIONS)b](�TF�QDE: 93 !�
<br /> 'NO PLACARDS OR MARKINGS REOUIRED• _ !
<br /> O OTHER
<br /> RUMS DRUM ORE _
<br /> MANIFEST NO. 'r ,.► •1- •�jr:�/•'+�•7:•y,�'llytl(� �t c.ij _d)'3o irolar ": ' .>Z-.AOC10F._. r �+�r�
<br /> J! uT- 7�eyr,'.• ,:aVx�.uT`j 7nj6;y6u1; rt•L nlftyfl b,'t v.:i;:; .., .�,,.
<br /> DRIVER „RUCK NO.A RK.�
<br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER.1lUU1cn1pA 2i(I:34:::rr:;e;;;:,,?::,:_J_:�§'..:',1.4. .:a., ',... ,.'y,.i:, ..,mi•-,
<br /> O COMMERCIAL FILTER AECYCL]NO,93270 V1f6vtBrrl AYWIVII,U0.M CIM,CA.5Tb-46748277
<br /> ❑ ALTERNATE FACILITY !•:.iii T:Y:a <. . ,.,. .. -..... . :
<br /> DESIGNATED TSDF: O ALVISO INDEPENDENT OIL-5002 Amner.Street•AIY)6o,3:A 85502•."L000161743.(610)476-1740
<br /> ❑ 19AYBIOE 0101,INC.•210 Enci nal Street•SantaCruz,CA 95080•CAD080836222•(408)427-3778
<br /> O EVERGREEN'ENV.•4139 N.Velentlne Ave. .Fresno,CA 93722.CA0982446882.(510)795-4400
<br /> p' DEMENNO/KERDOON •2DD0 N.Alameda Sff6et•Compton,CA 90222•CAT'080013352•(310)537.7100
<br /> ❑ O/K DIXON.7306 Chevron Way•Obion,CA 95820.CAT080012602.(707)68341008
<br /> O RAMOS EWNM MIENTAL.1515 S.Rnw Roo .W.Socnamerdo,CA Ill-CAD044003566 .(9161371-5747
<br /> ❑ ASBURY ENVIRONMENTAL SERVICES 2649 Smtl Averxle•Chico;CA 95928•CAL.000827844
<br /> ❑ ALTERNATE FACILITY_
<br /> ME!OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE TRI In to�ptl Nat ale atwe narnMl artl°le9 rite
<br /> =CYCLED AT OUR SISTER COMPANY.DEMENNOJKERDOON THE., N Prepa�eddY d"9111",de°brlbdd,packaged, aMread
<br /> tROEST RECYCLER OF USED OIL M THE WESTERN UNITED STATES.' ° IBbBIBd'P Or pr°pnr conelnDn fd transpormtbn,arspolnp ro dIa agpllcaWb regWnllone PI
<br /> :.Me IMP man dTrenaportetl°n.
<br /> HEREBY CERTIFY THAT I HAVE NOT MIKEO THIS WASIfE WITH ANTr ce
<br /> HER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN tow P.P.M.; X_ "' _- �? n J
<br /> IO THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'8., - CU=MERR 51GNA'<I RE-
<br /> :URTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FUR LEGAL
<br /> iPOSAL IF THIS WASTE IS OVER 1=0 RPM,TOTAL HALIDES, OR X !� •� '
<br /> -NTAINS ANY RC.D'S. PRI N,wE
<br /> Z d 8ZLL-6£Z-60Z ;PUBS u8 A AJ069J0 e9b 60 06 40 300
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