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FORM NO.AESW3 <br /> SERVICE ORDER <br /> No. N 597351 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE o COMPTON,CALIFORNIA 90221 ❑ (310)886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800748-5744 EPA CAD02F1277036 1-800-727-2879 <br /> DATE /G , / .y� ONE TIME PICK UP OYES or 0 NO <br /> CUSTOMER S�,-'-��`/' "r 5- / RESIDENCE Q VES or O NO <br /> BILLING ADDRESS ? -7 ! �TJ / � Sr CONTRACT CUSTOMER ❑ YES or C NO <br /> �� g1 PLEASE PAY FROM THIS <br /> y� <br /> A pp�� SERVICE ORDER <br /> PHONE ,3! /J 3' 1–3TOCONNTACT 7 /r• CUSTOMER NUMBEER <br /> CUSTOMER EPAN e�1�s/er�3 AMOUNT -�^"� ) <br /> JOB SITE ADDRESS -— __._- - – <br /> C1UM�ER / 60d <br /> CHEK-f <br /> P.O.NUMBER <br /> CROSS STREETS f CASH RECEIVED <br /> AU LINT <br /> Ali <br /> NOTES <br /> COMMODITY <br /> HALIDES 6'e C 0 P.P.IA <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIUMIXED OILS)STATE CODE 221 <br /> ,NO PLACARDS REQUIRED' <br /> L NON-RCRA HAZARDOUS WASTE.LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 133 <br /> *NO PLACARDS OR MARKINGS REQUIRED' NEXT SERVICE DATE <br /> G OTHER /r DRUMS DRUM SIZE <br /> MANIFEST NO._ L�,5,� 1 <br /> 51-7 /Jp NO.OF GALLONS C1 �Q <br /> DRIVER / / 't: his• TRUCK NO.&RT. G <br /> D NON HAZARDOUS DRAINED USED OIL FILTER <br /> G COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487-9277 <br /> "7 ALTERNATE FACILITY <br /> I <br /> DESIGNATED TBDF: ❑ ALVI50 INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL00016r743-(510)476-1740 <br /> O SAYSIDE OIL 11,INC.•210 Encinal Street•Santa Cruz,GA 95060•CAD088838222•(408)427-3778 <br /> LJ EVERGREEN ENV. .4139 N. Valentine Ave • Fresno, CA 93722•CA0982446882•(510)795-44W <br /> �DEMENNO/KEROOON •2000 N.Alameda Street•Compton.CA 90222•CATOBDO1335Z•(310)531-1100 <br /> C DIK DIXON.7300 Chevron Way•Doran,CA 95620•CATOODO12602•(707)893-8006 <br /> El RAMOS ENVIRONMENTAL•1515 S.River Road .W.Sacrarnento,CA 95691.CA0044003556 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avcnua•CNco, CA 95928•CALOGGS27844 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to caddy that the abp na+ud artic'.es we pro edy daswead,dnsrrihPA MWaged. marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNOIKERDOON THE <br /> and Ia�6d,enQ In proper cOnd!hOn fpr p'ansport'diPon,according to the applicable regulators of <br /> LARGEST RFCVCLER OF USED OIL IN THE WESTERN UNITED STATES. the Daparht ,T nsPurlatiut. <br /> •1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY / '/ f Ti f <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM_, X f JV <br /> AND THAT THE WASTE GOES NOT CONTAIN ANY P.O 9'S.. wb pvi,IER SIGNATUPE GATE <br /> 'I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL \A11G ---T( <br /> DISPOSAL IF THIS WASTE IS OVER IWC RPM TOTAL HALIDES, OR X ,�Jy'^� S � • ' -"• <br /> CONTAINS ANY RC.D'S. u!T NAME <br />