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FARM NO.AES443 <br /> SERVICE ORDER <br /> - - - NO. N 652707 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 a (310) 886-3400 <br /> DIXON UNION CITY <br /> 1-800-727-2879 EPA CAD028277036 14M-60348844 <br /> DATE <br /> ONETIME PICKUP DYES or [:]NO <br /> CUSTOMER - RESIDENCE ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or 0 NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE'" -' i,dr c, CONTACT— - CUSTOMER NUMBER <br /> CUSTOMER EPA# AMOUNT <br /> JOB SITE ADDRESS r% CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> HALIDES P.P.M. <br /> Ll NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED 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 DRUMS DRUM SIZE <br /> MANIFEST NO. <br /> - k`_ f, .. 'r NO.OF GALLONS �- <br /> DRIVER TRUCK NO.8,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: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502-CALOOD161743.(510)476-1740 <br /> © BAYSIDE OIL II,INC.-210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(831) 427.3773 <br /> ❑ EVERGREEN ENV. .4139 N. Valentine Ave. . Fresno, CA 93722 e CAD982446882.(510) 795-4400 <br /> `a—`_-6EMENNO/KERDOON •2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> ❑ D1K DIXON 97300 Chevron Ways Dixon,CA 95620*CAT080012602•(707)693-6008 <br /> ElRAM OS ENVIRONMENTAL.1515 S.River Road .W.Sacramento,CA 95691 .CAD044003556 .(915)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico, CA 95928•CAL0008271344 <br /> ❑ ALTERNATE FACILITY <br /> SCD OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br /> ECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE This is to certify that the above named articles are properly classified,described,packaged, marked <br /> and labeled, and are in proper condition for transportation, according to the applicable re olations of <br /> RGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES, the Department of Transportation. g <br /> HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> THER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM.; X <br /> NO THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br /> FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> ISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> ONTAINS ANY P.C.B'S. PRINT NAME <br />