Laserfiche WebLink
Sep-22-10 10:55 FrolI Dixon/AES 17076762339 T-046 P.009/013 F-094 <br /> w 1 �� �/ SERVICE ORDEF <br /> No. N 624065 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE D COMPTON.CALIFORNIA 90221 O (310)886-3400 <br /> SAN DIEGO OFFICE NORTHERN CAUFORNIA <br /> 1-600.748-5744 EPA CAD029277036 I-aDO-727-2879 <br /> DATE � �" p✓G ',q ONETIME PICKUP '`l.'dly"or.aNQ„ <br /> CUSTOMER / <br /> �' 7. S RESIDENCE 0 Ys <br /> o <br /> BILLING ADDRESS - CONTRACT CUST'OMES—❑YES or O NO <br /> PLEASE PAYMOMTHIS <br /> PHONE, � SERVICE ORDER <br /> !/sy�/J'.r�-) � `. CONTACT �li-•r7 CUSTOMER NUM13E�R-�j� <br /> CUSTOMER EPA III �--•• C x'3.4/,' L^� 1(2' �f� AMOUNT ?) <br /> JOB SITE ADDRESS �A�/ /•f/, .-� CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> NOTES: COMMODITY - <br /> HALIDES GaG rRM. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MU(ED OILS)STATE CODE 221 <br /> •NO PLACARDS REOVIRED• <br /> ❑ NON-RCBA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 133 <br /> *NO.PLACARDS OR MARKINGS REQUIRED* NEXT ERVICE DATE <br /> ❑ OTHER �PNMS DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER - ICR'�y TRUCK NO.8 RT. <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union GIY,CA,510187.9277 <br /> O ALTERNATE FACtLITV <br /> DESIGNATED TSDR ❑ ALVISO INDEPENDENT OIL-5002 ArC118r Street-AlvIw,CA 95502•CALODD151743•(510)4761740 <br /> ❑ SAYSIDE OIL 11,INC.-210 Enclnal Street•Santa CMM CA 88060•CADOC8838222-(40B)427-3778 <br /> G EVERGREEN ENV..4139 N.Valantirm Ave..Fresno,CA 93722.CAD911244611I.(510)7954400 <br /> ;p'bEMENNO/KERDOON -2000 N-AlamedaStreet-Compton,CA 90222•CAT080013352•(310)5377100 <br /> * INK DIXON.7300 Chevron Way•Dinen,CA 95620.CATON012602•(707)8936008 <br /> C RAMOS ENVIRONMENTAL.1515S.finer ROI# .W.80CRIM01110,CA 95691 .CAD044DD3558 .(01(S)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-2548 Scott Avenue-Chkoo.CA 86928-CAL000027844 <br /> O ALTERNATE F-ACIUTTY <br /> 3SED OIL USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE TMa is to mNly that the abwa named enmlea are proppeerly claesllhW,tlescrleed.paGeOea.marked <br /> iECYCLED AT OUR SISTER COMPANY pEME NNO/KEROOON THE and labeled,and are In proper candlton tar tremporletbn,areording to the eppll.ble moulallons of <br /> ARGEST RECVCLER OF USED OIL IN THE WESTERN UNITED IsTATES.'•,the DepO".rit d Tranepartellun. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY IT ! '^ �•' '� <br /> )THER WASTE.THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.RM.:.,X ![/�✓`•'�j ��_//("•'+G V �_�� <br /> ND THATTHE WASTE DOES NOT CONTAIN ANY FC.8'S.. • •` cus ER laNATURC `-- WE <br /> /'v.r,. <br /> IFURLNERAGREETOACCd- TTHEADD)T10NALCHARGESFORLEGAC l /:71, 1;✓(rt <br /> 4SPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES;OR It1-'.. pRMNAME <br /> �DNTAINB ANY RC.8'13: <br /> 5d 9ZLL-6£Z-60Z )PUBS ILEA /UOB910 9617:60 Ol b0 )00 <br />