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FORMNO.AEow.s <br /> SERVICE ORDER <br /> No. N 607391 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 0 (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-804746-5744 EPA CAD028277036 1-600-727-2879 <br /> DATE 1�~ a .,L ONETIMEPICKUP ❑YES or CI NO <br /> CUSTOMER :54'e �- / .e RESIDENCE YES or ❑ NO <br /> BILLING ADDRESS —291/ 8 l�Cf /0/74, ED'I CONTRACT CUSTOMER ❑YES or O NOL PLEASE PAY S <br /> M THIS <br /> SERVICE ORDER <br /> PHONE ,/1r� � �a CONTACT / A,S�+ CUSTOMER NUMBER <br /> CUSTOMER EPA N 'ZIE'71�QC -C 7 AMOUNT �� <br /> JOS SITE ADDRESS ECIC Nom'" <br /> P.O.NUMBER I <br /> ^ 1 <br /> CROSS STREETS I J CASH RECEIVED / VpNyyyORRR <br /> NOTES: �/// l ! COMMODFTY /"/' 1 <br /> `c <br /> HALIDES P.P.M. <br /> t <br /> MON-RCRA HAZARDOUS WASTE,LIQUID(USED OIUMIXED OILS)STATE CODE 221 <br /> 'NO PLACARDS REQUIRED' <br /> :-1 NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 139._ <br /> "NO PLACARDS OR MARKINGS REQUIRED` NEXT SERVICE DATE <br /> G OTHER �^ P� DRUMS DRUM S1ZE <br /> MANIFEST NO. _ i CJ �Y NO.OF GALLONS �OO <br /> DRIVER TRUCK NO.&RT <br /> L NON HAZARDOUS DRAINED USED OIL FILTER <br /> L COMMERCIAL FILTER RECYCLING.33210 Western Avenue,Union City,CA,510487-9277 <br /> ❑ ALTERNATE FACILITY ' <br /> DESIGNATEDTSDP: ❑ ALVISO INDEPENDENT OIL-5002 Archer Sveet•AMSO,CA 95502•CALOOOIO1743.(510)470-1740 i <br /> ❑ BAYSIDE OIL II,INC.•210 Encinal Street•Santa Cruz,CA 95060•CADOUB38222•(408)427-3778 <br /> ``❑�ERGREEN ENV..4139 N Valentine Ave .Fresno, CA 93722.CAD982446882 .(510)795-4400 <br /> •-0EMENNO/KERDOON •2000 N.Alameda Street•Compton, CA 90222•CAT080013352•(310)537-7100 <br /> ❑ DIK DIXON.7300 Chevron Way.Dixon,CA 95620.CA7O80012602.(707)693-6008 <br /> ❑ RAMOS ENVIRONMENTAL.1515 S.Riaw Road .W.Sacramento,CA 95691 .CAD044DO3556 •(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES'2569 Scott Avenue•Chico,CA 95928'CALOD0827844 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This a to certify that the some named articles are property dassked,described, packaged,marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNOIKERDOON THE and labeled,and are)n proper mndalon tar tramportatlnn,according to the app cable regulators of <br /> IARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. Ne Depmmrent at i0n. p,/ i <br /> 'I HEREBY CERTIFY THAT 1 HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE.THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM.; X _ - � <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY PC.B'S.. CUSTOMER SIaftwru E UTE j <br /> M FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL IF THIS WASTE IS OVER 1000 PPM.TOTAL HALIDES,OR 1 7' <br /> CONTAINS ANY P.C.B'S. PRIM NAME <br />