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Sep-22-ID 10:54 From-DK Dixon/AES - 17076TO2339 T-046 P.006/013 F-094 <br /> SERVICE ORDER <br /> a r= <br /> �1 _ 1 No- N 652479 <br /> ASBURY ENVIRONMENTAL. SERVICES " <br /> 1300 S.SANTA FE AVENUE c CQMPTON.CALIFORNIA 90221 D (310) 886-3400 <br /> DIXON f UNION CITY <br /> 1-804727-2879 / FFACA0028277036 I SM 6038844 <br /> DATE f G 1 ONETIME PICK:UP ',�)VES or ❑Nb <br /> CUSTOMER RESIDENCE ❑ YES or O No <br /> BILLING ADDRESS - CONTRACT CUSTOMER ❑ YES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE CONTACT_. iT. _. CUSTOMER NUMBER <br /> CUSTOMER EPA k Q O ( Ole-T. moi' -AMOUNT <br /> JOB SITE ADDRESSCHECK NUMBER <br /> / 'e'sp r s.1--� P.D.NUMBER <br /> C6)OSS STREETS CASH RECEIVED <br /> (AMOUNT, <br /> NOTES: COMMODITY <br /> z�— <br /> HALIDES P.P.M. <br /> NON-RCRA HAZARDOUS 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 REQUIRED- NEXT SEFIVIM DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO._ >�/-J 4: 22 �J �' NO,OF GALLONS <br /> DRIVER ��� TRUCK NO.&HT rZ� <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER <br /> u COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union Clly.CA,510-487-9277 <br /> O ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ALI=INDEPENDENT OIL-5002 Archer Street•A)v15D,CA 9550?-CAL000161743-(51 D)476-1740 <br /> ❑ BAYSIDE OIL 11,INC--21C Encinal Street-Sante Cruz,CA 05060-CADOBB838222-(831) 427.3773 <br /> ❑ EVERGREEN ENV.-4139 N.Valentine Ave..Fresno,CA 93722.CAD9132446862.(SI 0)795.4400 <br /> OEMENNO/KERDOON -2000 N.PJamoda Street-Camplon.CA 90222-CATOB0013352•(310)537-7100 <br /> DIK DIXON•7300 Chevron Way-Dunn,CA 95620.CAT080012502.(707)693-6008 <br /> C RAMOS ENVIRONMENTAL.1515 S.River Road .W.Sacramento,CA 95691.CAD044003556 .(916)371-5747 <br /> ❑ ASBURY ENVLRONMENTAL SERVICES-2549 Som Avenue-Chlco,CA 95928-CALOOD627644 j <br /> ❑ ALTERNATE FACILITY <br /> ;ED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE ThIS Is 19 Comfy that the above named arlKlos are properly claeellled. deembed, packaged. merkbd <br /> !CYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE aw 145o1ad. arM are M proper_cwdl1lOn for aanspomi.r'.acwrding to me epPliceole ragulallonS of <br /> AOEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES, Lha D ar ent of Thaneportall (\' <br /> iEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY t ` �L,p <br /> HER WAeTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X n' w�t. IM <br /> O THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. GoOMER GNAT E Dn7 - <br /> 'URTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOH LEGAL x Cir, '.'AI 1. � <br /> -POSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES,OR <br /> NTAINO ANY PICA'& <br /> Cd 9ZLL-6£Z-60Z 1PUBS Uen AIOB8IE) 809:60 OL b0 100 <br />