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SERVICE ORDER <br /> `uVNo. N 700608 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 0 (310) 886-3400 <br /> EPA#CAD028277036 <br /> DIXON UNION CITY CHICO <br /> 800-727-2879 888-603-8844 800-733-9043 <br /> • ( . ( ONE TIME PICK UP ❑YES 1'0"" <br /> • 12 S (� RESIDENCE ❑ YES NO <br /> CUSTOMER <br /> CONTRACT CUSTOMER ffYES or ❑ NO <br /> BILLING ADDRESS <br /> 1 PLEASE PAY FROM THIS <br /> rr11 SERVICE ORD <br /> PHONE �6 O � 6 K��33 CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# Sz AMOUNT <br /> CHECK NUMBER <br /> JOB SITE ADD ESS 4113 N <br /> P.O.NUMBER <br /> CASH RECEIVED <br /> CROSS STREETS AMOUR <br /> COMMODITY <br /> Nq'T ES: <br /> HALIDES els O!/(/ P.P.M. <br /> ON-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 NEXT SERVICE DATE <br /> 'NO PLACARDS OR MARKINGS REQUIRED' <br /> DRUMS DRUM SIZE <br /> ❑ OTHER00- ` �l <br /> V 6 NO.OF GALLONS a dy <br /> MANIFEST NO. / <br /> DRIVER <br /> Q�J TRUCK NO.&RT. C <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ SA RECYCLING, 33210 Western Avenue, nion City,CA 94587 1-510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO 11,LLC•1618 W.5th St.,Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA•200 Dinsmore Dr.,Fortuna,CA 95540•CAL930256136•(&10)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. • 1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON •7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑ DEMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> GREEN ENV.•4139 N.Valentine Ave. •Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CA0044003556•(916)371-5747 <br /> ❑ SAN JOAQUIN FILTER RECYCLING•14287 E.Manning Ave.•Padier,CA 93648•CAL000102751 •(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are property classified;described' packaged, s of <br /> ked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled.and are In p *dNon for transportation,according to Me appregulation <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Depadment of Tr as <br /> -1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY it <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X CUSTOMER SIGNATURE TE <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. <br /> - -.•r Tuc ADDITIONAL CHARGES FOR LEGAL X <br /> P.M.TOTAL HALIDES, OR pgwT NAME <br />