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SERVICE ORDER <br /> No. N 566240 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CAUFORNIA 90222 ❑ (310) 88(-3400 <br /> SAN DIEGO OFFICE - NORTHERN CALIFORNIA <br /> 1-804748-5744 EPA CAD028277036 1-800-727-2879 <br /> DATE 1 - 6-07/ -ONETIME PICKUP DYES or VNO <br /> CUSTOMER s., ! � � ,'.;1;[. 97 .RESIDENT ❑:YES or f NO <br /> t a. 1 / 9✓,.>r <br /> BILLING ADDRESS CONTRACT CUSTOMER OYES or ❑ NO <br /> PHONE I:' l 45 ' I an 9f CONTACT CUSTOMER NUMBER .! ,[ �r 74 <br /> CUSTOMER EPA# t'fl ..n�}l�I114��J�i� t AMOUNT <br /> JOB SITE ADDRESS �1 7 ff'�}''`` 1l/i�r1�/.f2•' 1h ;C q )f"j"r-9-,�`. CHECK NUMBER <br /> i Xzo 1 t 1.( t ���r:7F/G.r P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> I kS: . . COMMODITY <br /> HALIDES - //1D P.P.M. <br /> -NON-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 133 <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO G[J.' �,j7�C1 /r7 NO.OF GALLONS <br /> X72 •) <br /> DRIVER ..J�7.: ,f- /.'i !�"e:'.,-,_ F TRUCK NO.8.RT.... l..t... �;.< <br /> ❑ NON HAZARDOUS DRAINED USED OILRR <br /> ❑ COMMERCIAL FILTER RECYCLING,93210 Western Avenue,Union City;CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL000151743•(510)476-1740 <br /> ❑Q BAYSIDE OIL It,INC.'-'210 Encinal Street•Santa Cruz,CA 95060•CAD088838222.•(408)427-3778 <br /> ❑ PARLIER FACILITY.14287 E.Manning.Parlier,CA 93648.CAL000102751.(559)498-0240 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> 1"D/K DIXON.7300 Chevron Way•Dixon,CA 95620.CAT080012602.(707)6936008 <br /> ❑ RAMOS ENVIRONMENTAL.1515 S.River Road .W.Sacramento,CA 95691.CAD044003556 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ALTERNATE FACILITY <br /> OF `IL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described, packaged, marked <br /> RE .LED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled,and are in proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation. r <br /> •1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY !y: ^ <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.; X - �_�_.31 <br /> ANDTHATTHE WASTE DOES NOT CONTAIN ANY P.GB'S... CUSTOMER 51GNATORE DATE <br /> "I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X 1 <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />