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FORM NO.AES003 <br /> SERVICE ORDER <br /> - - - _ NO. N 652560 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S. SANTA FE AVENUE C COMPTON, CALIFORNIA 90221 0 (310} 886-3400 <br /> DIXON UNION CITY <br /> 1-800-727-2879 EPA CAD028277036 1-888-603-8844 <br /> DATE <br /> ONETIME PICK UP OYES or ❑NO <br /> CUSTOMER <br /> RESIDENCE ❑ YES or 0 N <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE '.fiF- r CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# <br /> AMOUNT <br /> JOS SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS <br /> CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY i <br /> HALIDES PPM. <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 SERVICE DATE <br /> ❑ OTHER <br /> DRUMS DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS j <br /> DRIVER <br /> -' TRUCK NO.&RT. <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue, Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: D ALViSO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL000161743-(510)476-1740 <br /> ❑ BAYSIDE OIL II,INC.-210 Encinal Street•Santa Cruz,CA 95060•CA0088838222"(831) 427-3773 <br /> ❑ EVERGREEN ENV. -4139 N. Valentine Ave. *Fresno, CA 93722-CAD982446882-(510)795-4400 <br /> "0' DEMENNO/KERDOON •2000 N.Alameda Street•Compton.CA 90222•CAT080013352•(310)537-7100 <br /> ❑ DIK DIXON•7300 Chevron Way.Dixon,CA 95620.CAT080012602-(707)693-6008 <br /> ❑ RAMOS ENVIRONMENTAL.1515 S.River Road -W.Sacramento,CA 95691 -CAD044003556 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-2549 Scott Avenue•Chico, CA 95928-CAL000827844 <br /> ❑ ALTERNATE FACILITY <br /> ED OIL,USED ANTIFREEZE ANDCO OILY WATER WASTE STREAMS ARE Thfs is to cern that the above named articles are properly etassilied, described, packaged, marked <br /> CYCLED AT OUR SISTER COMPANY DEMENNO/KERpOON THE � p p y <br /> RGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES, and labeled, and are in proper condition for transportation,according to the applicable regulations of <br /> the Department of Transportation. <br /> HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> HER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P-P.M.; X <br /> D THAT THE WASTE DOES NOT CONTAIN ANY RC-B'S.. <br /> CUSTOM EA slcNAruAE OAT <br /> URTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> SPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> NTAINS ANY P•C,B'S. PAINT NAME <br />