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SERVICE ORDER <br /> 111110", 9 EMB <br /> a - No. N 61145 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 ❑ (310)886-3,100 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA - <br /> 1-800.748-5744 EPA CAD028277036 1-800-727-2879 <br /> ONETIMEPICKUP ❑YES orONO <br /> DATE <br /> CUSTOMER l�al - r 7�11"A ip -i RESIDENCE r".YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER 2 VES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> SERVtCE ORDER <br /> PHONE " r / ` CONTACT 'I3 �6'7 CUSTOMER NUMBER r <br /> f Q y Q <br /> CUSTOMER EPA# C l/ 4!gdG'2g'�/;f AMOUNT <br /> �''"\ t.�LHECCK NUMBER <br /> JOB SITE ADDRESS <br /> i <br /> P.O.NUMBER i <br /> f 1 <br /> CROSS STREETS CASH RECEIVED // <br /> lA, I <br /> NOTES: �, COMMODITY �% 0 <br /> HALIDES '" O P.P.M. <br /> -iQON-RCRA HAZARDOUS WASTE,UOUID(USED OIL/MIXEO OIL$)STATE COOE 221 <br /> •NO PLACARDS REQUIRED* <br /> Ll NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE COOS 133 <br /> `NO PLACARDS OR MARKINGS REOUIRED* NEXT SERVICE DATE i <br /> ❑ OTHER DRUMS DRUM S12E <br /> MANIFEST NO. / tl >.FS } NO.OF GALLONS <br /> DRYER � ��:�f <br /> (RUCK NO.B ITT. <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCUNG,33210 Western Avenue,Union City-CA.510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> f <br /> i <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•ANIso,CA 95502•CAL000161743•(510)476-1740 <br /> ❑ SAYSIDE OIL II,INC.•210 Enclnal Street•Santa Cruz,OA 95060•CADON638222•(408)4273778 t <br /> ❑ EVERGREEN ENV..4139 N Valentine Ave. .Fresno, CA 93722.CAD982446882.(510)7954400 <br /> DEMENNO/KERDOON •2000 N.Alameda Stroct-Compton,CA 90222•CAT080013352•(310)537-7100 <br /> DIK DIXON.7500 Chevron Way.Dixon.CA 95620.CAT080612602.(707)893-6008 <br /> ❑ RAMOS ENVIRONMENTAL.1515 S.Riva Read .W.Sacramento,CA 95891.CAD044003556 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928.CALOOD827944 j <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is.to cerely that the above named articles are pm dy ctassifted,described,packaged.marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNOIKERDOON THE aid labeled,and are In proper Condition for nansponatPon,according to the applicable regulation of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. ,,a Dqw,,p,I at Try„eparrgyw <br /> q HEREBY CERTIFY THAT 1 HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM.; X C! ? <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY PC.B'S.. - --CiTS Wi IG A URE Wit <br /> FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY PC-WS. PRINT HANE <br />