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RECEIVED <br />APR 10 2011 <br />ENVIRONMENTAL HEALTH <br />r <br />DATE <br />GUST <br />BILLING ADDRESS _ <br />PHONE 2D 9 <br />CUSTOMER EPA M <br />FORM NO. AES003 <br />SERVICE ORDER <br />No. N 9029126 <br />DEPARTMENT ASBURY ENVIRONMENTAL SERVICES <br />1300 S. SANTA FE AVENUE o COMPTON, CALIFORNIA 90221 n (310) 886-3400 <br />EPA# CAD028277036 <br />DIXON UNION CITY CHICO FRESNO <br />800-727-2879 888-603-8844 800-733-9043 886-994-6937 <br />JOB SITE ADDRESS S F/ b) Ma d k d <br />�q/ln, - q 5 Z I -2 <br />CROSS STREETS <br />NOTES: <br />NON FIGRA HAZARDOUS WASTE, UOUID (USED OIUMIXED OILS) STATE CODE <br />•N"LACARDS REQUIRED• <br />ONE TIME PICK UP <br />RESIDENCE <br />OYESor DNO <br />DYES or LJ NO <br />CONTRACT CUSTOMER O YES or D NO <br />PLEASE PAY FROM THIS <br />SERVICE ORDER <br />CUSTOMItRNUMBER <br />AMO O I <br />CHECK LIMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />tAMOU" <br />COMMODITY._.. <br />14ALIDES <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />•NO PLACARDS OR MARKINGS REQUIRED' NEXT SERVICE DATE U. <br />❑ OTHER <br />MANIFEST NO. <br />USED OIL AND GASOLINE FILTERS <br />SA RECYCLING, 33210 Western Avenue, Union Gly, CA 94587 1510-487.9277 <br />ALTERNATE FACILITY <br />DRUMS M SIyZEr�``�� <br />(40. OF GALLONS uC✓ <br />TRUCK NO. B AT. <br />DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scot Avenue • Chico, CA 95928 • CALOOD827844 <br />❑ ASBURY ENVIRONMENTAL SERVICES-CMCO 11, LLC • 1818 W. 511a S1., Chico, CA 95928 • CAD980694103 • (800) 733-9043 <br />❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA • 200 Dinsmore Dr., Forluna, CA 95540 • CAL930256136 • (800) 733-9043 <br />D BAKERSFIELD TRANSFER INC. • 1620 E. Brundage Ln. • Bakorsrield, CA 93307 • CAL000282598 • (661) 377-G308 <br />❑ D/K DIXON • 7300 Chevron Way • Dixon. CA 9567.0 • CATOBOO12602 • (707) 693-6008 <br />D DEMENNO/KERDOON • 2000 N. Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100 <br />❑ EVERGREEN ENV. • 4139 N. Valentine Ave. • Fresno, CA 93722 • GAD982446862 • (510) 795-4400 <br />❑ RAMOS ENVIRONMENTAL • 1615 S. River Road • W. Sacramento, CA 95691 • OAD044003556 • (916)371-5747 <br />-LL-WORLD OIL -SAN JOAQUIN, LLC • 14287 E Manning Ave. • Parlier, CA 93646 CAL000102761 • (559) 498-0240 <br />❑ ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. <br />•114EFIEBYBCERTIFY THAT I HAVE NOT MIXED T141S WASTE WITH ANY <br />OTT(F1i W THE WASTETDOES NOT CONTAIN HE TOTAL HALIDES ANY P.C.e'S.. E LESS 1000 PPM.; <br />DISATT$EL IFFOR LEGAL ll GT}R}IIE9 WASTE IS OVER 11000 P.P.M. OTALLEHALI ES, OR <br />'CONTiVNS ANY P.C.B.S. <br />e c <br />Tax G to lity 0.1 rho above named ankles are prroappeerty dassified, desalbed, packaged, awaked <br />and labeled, arid ara In proper concition Idr Vanspartallon, according to the cable egvla0 �I <br />the Department of jmqsportaum. <br />X GX/�•- � 1� � <br />CUSTOMERS ANREI <br />JC <br />PRINT NAk1E <br />