Laserfiche WebLink
Oct, 8. 2012 4:06 PM JtKVllat UKUl <br /> NQr„3913004 B k., �or) <br /> CRY SERVICE ORDER NO, <br /> ✓�OFFICE =_-t <br /> ,a'3-8844` <br /> � E <br /> ,pCD OFFICE <br /> 800-733-9043 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> s 1300 SOUTH SANTA FE,COMPTON,CA 90221. <br /> H 1-310-886.3400 . <br /> P MAX),M C-Pu Nf< ItIO[iltS TRANSPORTER EPA#CAD0282'17036 I•irl CRANE WORKS — PrIIR <br /> E 2371 MARIPGSA rrtAX) F-'0 BOY, 977 <br /> D <br /> a EpT•6CKTO14,(:A 952(75 LA FGR-I"E. TX 77572 <br /> (916) 452-396i <br /> CUSTOMER4 PURCHASE ORDER# ROUTE# TRUCK# CONTACTNAME ORDER TAKEN BY, HALIDE <br /> IyoXF(i2 112 56 3C.HGDUL.I::D <br /> PATE REQUIRED . . DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# - MANIFE # <br /> ST <br /> ]_/].'7/2Csi` 1/17Jwa1b12 CAD4s??i`"i69�i m r`�I/,l tO7~ l <br /> PART# DESCRIPTION. QTY UNITPRI .QTY PIU TOTAL, <br /> L405C U IET) OIL 'SERVICE CHARGE ]. <br /> WO <br /> USE Yl <br /> Y iiTXfD OaLS 74Cr " <br /> 6� <br /> I;Y Jf5 t4 E,ai t:7`BBat'Bt <br /> ' • TOTAL <br /> CASHREC'D: CHECK# PLEASE PAY FROM THIS SERVICE ORDER <br /> WASTE DISPOSAL INFORMATION <br /> f NOWRC RA HAZARDOUS WASTE,LIQUID(USED OI Ulti D Diu)'NO PLACARDS REQUIRED` STATE CODE 221 <br /> NON-RCRA HA7ARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED' STATE CODE— <br /> OTHER: <br /> DESIGNATED TSD <br /> F' <br /> ALTERNATE TS DF: 1 r 111 0 V16 V . '• 1 f <br /> SA RECYCLING: 93210 Western Avenuoa Union City,CA 94587 i-51 -487.8277 <br /> DRUMS PN: EMPTY.DRUMS: FACILITY: BSC <br /> GENERATOR WASTE CERTIFICATION <br /> PLEASE CHECK THE APPROPRIATE BOX <br /> noa is to eencly Mal Me walla described above is propady Cla•tlHeq dascrWed,packaged,-Ahad and leboted,and Is In proper conalnon for banspatatien:aeeardin0 to oppllcabU Slmc <br /> and federal f6pledons.By slgning betaw I Oleo hemly canny MAL <br /> (Waste oil generator/customer MUST check ONE of the following three boxes) <br /> fi'Ya)1 nave no mixed any v r the wan.daeeAbed above Men any other h.&..wale.Me fatal halide oemtnl 1.LESS Men 1,009 ppm,cad the—fir data not Actual.any PCBa.I have <br /> eomplladrAM Me mgWremenO dr Iha a ppif"baCenlolea Plot ailman9ena l eesolaliona to delelmrne Ibisla ince.Ielicitor tocapl the additional chaffil forlha disposal Af MO waste <br /> If the ldormallon l nava p-vid.d 110.1 Unit wrote la MIMMcl " <br /> 0M2)ihaysmol mixed airy of thewasp deeCdb.dabove Wllh anyoN•rtrurdova--I,car told halide eordtnt 11 IIAW Rthan i3OWppm,and Me va,I.don not conal.any PCBa.I <br /> have provided pmpef documenlaUen bAabury Environmental serve”M 1,014111e prnuM,lion that thin waste Wan mead a,th olhey h deol!0da waste.I ague m ectPl one additional chary•. <br /> I—Ne diad Wel of Mi.W9110 ff We L f---U—l bale prOnded fitoo pl waaw la lntaattl <br /> 0 pal Tian WaeO i.from a Oak which collecu waslo dl I-m hoorah old'dodVyou Near vmYI as WOf moincrately eaemp tfmall quantity generator(CESGS)tad roe a.Yo Ibe beat of my <br /> kuoa4669 e.Me only wsste cit vanained In my Cly/015500 C011WIon lank Is mol all from DIY an Not CEBOC sourtea.l have not mb[ed Ihit waste ail wiM any other luendouc was`or <br /> I.M.dl Ire- Mer..Mice,I.9r,.1.accept Me adVaAY AnNpee far dapinA,or Mb waHe If Me information 1 nave provided ab�ungi{WKIa Ia M.onait /r <br /> (All generators/customers MUST read the following tent and,,Eheckthe a ated box.) J/ <br /> .ep0)al am A large quandayinuclaW.l cer1lfy INA[l have apograminplata to reduce(he volume no baldly olwaele penjlatea I.M,daproe�A ea•termlmdlobeeconomie4ly <br /> praocable and Mail bay...inue Me pfacinciela mored 9l u .Moal,amnge,orMlp000l eU"0A,y ayall.bi, a mewhiehkNnlmlacs'ihe full d lulUM lMwl to human life aM <br /> the anvi nmetl;Or,if l am a a-A�I qua B)y9MeratoC l have made a9 ood a11h aNM to minimiaa myweeta 9ed0TAII.n and peact Mabael vias ngem/alY�mdaoa lnat is av+llaele <br /> toitty Il can aHoN. � •\ !/ <br /> { I / <br /> C`'u�gmor Signahtre /' Date Driver$jgnatuya... "Date <br /> i <br /> c Vl1�1 cStC �� JOSCrwn <br /> Prin. Name Print Drivers Name <br /> _-----------�--- -__�---- --1----------•- <br />