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Sep-22-10 10:55 From-DK Dixon/AES _ 17076762339 T-046 P.009/013 F-094 <br /> ` SERVICE ORDS <br /> S, No. N 63165 <br /> J3 <br /> /►SBURY ENVIRONMENTAL SEMCES <br /> 00 SAMA FE AVENUE O COMPTON,CALIFORNIA 90221 Q (310)aae-9400 <br /> SAID D1EG0 OFFICE . <br /> 1.800.748-5744 '.EPAOA0028277036 NORTHERN CALIFORNIA <br /> 1-000-727-2079 <br /> DATE <br /> ' ONE TIME PICK UP gYESaONO <br /> [NOTES: <br /> RESIDENCE M YES or ❑ N( <br /> DRESS � ... • . <br /> .- -. . •- CONTRACT CUSTOMER ❑YES or ❑ NC <br /> PLEASE PAY FROM THIS. <br /> ��'� ? i �7- '' �Sk coNr�cr.:. ,.t':.,..u�.E - . SERVICE ORDS ^� <br /> - CUSTOMER NUMBER <br /> ✓ Cl <br /> EPAN 4-�,.,ppay„G/�. ' <br /> � ” AMOUNT' S `— <br /> DRESS �• r/,/+t/. .t.�✓If`oxj'. . <br /> CHECKNUMOER <br /> P.O.NUMBER <br /> ETS <br /> CASH RECEIVED <br /> .• - IAt40uNr1 <br /> COMMODITY G- ) �r_J <br /> HALIOES `/•'1_vG!G P.P.M. <br /> ON-RCRA HAZARDDUS WASTE.LIQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> 'NO PLACARDS REQUIRED- <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 133 <br /> *NO PLACARDS OR MARKINGS REOUIRED` <br /> ❑ OTHER NEXT SERVICE DATE <br /> MANIFEST NO. DRUMS DRUM SIZE <br /> _ !/�-�„q'[ oj�J•J� NO.OFGALLONS_�Tr� <br /> DRIVER - <br /> r TRUCK NO,B RT. <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER - <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue. Unlan'C%y,CA,510-467.0277 <br /> ❑ ALTERNATE FACILITY - <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alv180,CA 95602•-CALOOM61743.(510)476.174(l <br /> ❑ BAYSIDE OIL 11,INC.•210 Enclnal Street•Sante Cruz,CA 95060-CADO88B36222-(406)427-3776 <br /> ❑ EVERGREEN ENV,-4139 N. Valentina Ave. .Fresno,CA 93722.CADS62446682.(510)795.4400 <br /> ,21'DEMENNO/KERDOON •2000 N.Alameda Street•Compton,CA 90222•CATO9D013352•(310)537.7100 <br /> ❑ OM DIXON.7300 ChevM Way•Dixon,CA 95620.CAT080012602.(707)6938006 <br /> ❑ RAMOa ENVIROfAIENTAL.7515 S.ROw ROW .W.Sacramento,C•A 98681.CAD044g03556 .(916)371-5747 <br /> ❑ ASBURY ENVIF)ONMENTAL SERVICES•,2648 Scot[Avenue•Chteo,CA 95828•CALOD0B27e44 <br /> C ALTERNATE FACLLrTY - <br /> 3E0 p4 USED ANTIFREEZE AND OILY WATER WASTE STREJ11A8 ARE <br /> , <br /> SCYCLED AT OUR SISTEA_CO MPANY DEMENNO/KERDOON THE Th s le to cortly that the abv narraa talkies are pmAAaany classmea,destebee,packagea. rnarhea <br /> AGEST RECYCLER OF USED OIL M THE WESTERN.UNITED STATE!,. and lahalea.au8 are In proper tanaNan lb,benaparp: n.accorohp to the applltaNe regwadana of <br /> IM Dap/Mmen[p(TfensporMtio . <br /> HEREBY CERTIFY THAT 1 HAVE NCT.MIXED THI1 WASTE WITH ANY C_-T / <br /> HER WASTE,THA7 THE TOTAL HAUDEB AAE LE36 THAN 1000 P.P.M.: X j •( <br /> O TN AT THE WASTE DOES NOT CONTAIN ANY P.0-B'&. / -- <br /> CU TOWR IGNATURE 11a1iFE <br /> URTMER AGREE TO ACCEPT THE ADDITIONAL IT9TAL H FOR LEGAL <br /> IPOSAL IF THIS WASTE IS OVER 1000 PFM.TgTAL HALIDES.-OR OR X <br /> NTAIN3 ANY P.C.B'3. - t'. <br /> I,d 8ZLL-6£Z-60Z TueS u6A ti069_!t0 S917:60 OL 40 100 <br />