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Oct. 8. 1012 4:07PM U `J No. 3973 P. 3
<br /> POR SERVICECALLi - SERVICE ORDER
<br /> DIXON,OFFfCE' ,,.. EbIYVrib•AEBOD1eIPEli¢071
<br /> 1-800-7ASBURI^ _ _ _ . SERVICE ORDER NO.I •.
<br /> UN(ONCIry OFFICE .r• .,.n +e Ta
<br /> 1-888,-603-8844 t D ` i:a";a1i — #14769$0 •y.:'•• '• �
<br /> CNlCOOFFICE To, = - ' 1:41
<br /> .BOO.793-0043'. .. �' T'Q,4 - �� ^ .e'� - ' :• .�
<br /> •• • ASBURY ENVIRONMENTAL SERVICES • ' •;••:'• '
<br /> - 1300 SOUTH SANTA FE,COMPTON,CA90221.
<br /> u 11"M&RA,NEW0F*S .. 1.310-888-3400 .
<br /> t MAXIM CRANE WC1PpKS•PARENT '
<br /> P.2378 MARIPOSA:ROAU TRANSPORTER EPA#. CADM8277036 p0 SOX 968 .
<br /> �: .. .. -
<br /> STOCKTON,CA 95205' LA PORTE;TX 71672
<br /> o (9i�,452-9981 00 47147W
<br /> .ti
<br /> 'CUSTOMER# .PURCHASEORDER# ROUTE#. . R CK#, CONTACT NAME pROERT N AxuFES '
<br /> MA•X6o2 12 ySCHEDULED
<br /> ATE REQUIRED DATE ENTERED - NEXTSERVICE DATE CUSTOMEREPAII MANIFESTO
<br /> 7/1W2012. 7/I 2012_ ...... _ _,Cn0Ua2a"59941
<br /> PART# 'DESCRIPTION QTY . UNIT PRICE QTY PIU TOTAL
<br /> M?OSG USED OIL SERVICE'CHARGE 1 . SRO'
<br /> WO. USED OIL/.411XE0 OILS 650
<br /> Coe Streets: . '
<br /> T 01
<br /> TAL
<br /> GASH REM CHECK# PLEASE PAY FROM THIS SERVICE ORDER-•.
<br /> WASTE DISPOSAL INFORMATION
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED OILS)'NO PLACARDS REQUIRED' :liTATE CODE 221
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED" STATE CODE y
<br /> OTHER::
<br /> 'DESIGNATED TsbFRAMOS ENA IRON L,1516$.RIVERVRD,W.SACRAMENTO,CA 94 1,(91. 377.54 01144 80
<br /> ALTERNATETSDF•'
<br /> SA RECYCLING: 33210 Western Avenue,Union Alta,CA94587 1-510.407.9277
<br /> DRUMS PN: EMPTY DRUMS: FACILITY: -
<br /> GENERATOR WASTE CERTIFICATION
<br /> PLEASE CHECK THE APPROPRIATE BOX '
<br /> This is m certify that lhewaet,Aetilbod above lspropeQytieszifiey deadlbed._Pick,pled,mar0ad and bO(laQ an41;lh prop,,wndlilan for trinsportatim,attordinp ddNNvn6N1e ,
<br /> .end fedeW reOultlims:Gyalpninp0dowlalso hehby udifylhe4 '"
<br /> (Waste oil generator/customer MUST"check ONE of thb'foilowing three boxes)
<br /> a{��u
<br /> 101)1 NV.aNl mixed any of we alesta devuthed'Ower AM a„y twat hewdoms west,;the IoW hallos content to LESS Mani 1,000 ppm,and the Waal,does not aontmn any PCD:.I hva
<br /> Cnmpin d adw on I I JnmWdo d lM t 011..1.11.
<br /> 1. 1.I.Dtheol OD manayemanl ppWallons to dalam�Ir,e lNs is We.l agree lnawepl we eddNonal tRarOw(orihe dl,posalof lh6 wmle
<br /> If the WPYmagonlheve proNdeC about cote wast,LUlaorteDl
<br /> 002)1 hnmUed any of we cont,deoClibed above wah My ow?fhatordow,wits.the to tai�Nllde.,Ontenl is GREATER pp
<br /> 1,000 m.and we as does not contaln any
<br /> esem l
<br /> have prmided proper dto,m.w.dan is Aebvry Enn,enm rservieca leleast w prefvmpoan that we we the we ml yed col w cwernua rdutt Waste.l a gree w atmpl the ed0iddaa NDK
<br /> for we d'opasv aI Us w We if Ula lnlnrm.U.l hale plasnded abevt thaw et it lnae„ad
<br /> ➢M3)1Rlc waste is from a u twnlah ooftadlc,wooall hom httmhatd•aoJi-ywrsdf'(OM endear sandhiooany attempt mesal quaniny D onarBlo,tC 600)i Dulles.To the best of my.
<br /> knowledDe,ww
<br /> e Only wee[e tii nt, Nd)
<br /> ined y elYl CEaG�eoliecUoo Ian%IB SOIey-ftadpYanderc CEBOe eturcas,t para nos I% dthis--at-off with any owv
<br /> offer huardsus waste watwedgla,thDons. FI. 9aetuareapl the addi4onal,shages'ftrdapwalWwii ti�et,liNilnfamiaUonlnaw DroHGld'Doer/ihle v/utet,lnwrnG
<br /> (Alf generators%w yrtgmers must read:tbe followlhg beat and edk Ltl1¢ fated box.)
<br /> - "I III am a tarps quenDy Dsnoralofl comfy that l naves p,Oggm in Plape to nduKtheyWYme and 4ly ofwple aeM,alad It p t eye daWmlmd m be ewnnml,atty
<br /> •
<br /> 1paatucable onto that l nava eelecled we tl Ie mslhetl of VeiwlsnL slerapq wdipoFilwnmdy a+tllabl l mewNch.,nlnm w e and fulura threat to nomas his and
<br /> IN anvi,tnmantJ Or,It am aandl4' "gid hlhdaali{f be " .his.mmllmawedlhLlBaYela,ble
<br /> to.4 yll can
<br /> Ca �mer519nature ' efe••:''r` D-rl've e .
<br /> tit
<br /> Print Nannie `.. .. . . . . ... `PrintDdtt.4rs/Nei S!. ._
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