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SERVICE ORDER <br /> No. N 565788 <br /> `ASBURY ENVIRONMENTAL SERVICES <br /> 2104UH,-ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (31 O)886-3400 <br /> SAN DIEGO OFFICE NORTHERN CAUFORNIA <br /> 1-800-748-5744 EPACAD028277036 - 1-800-727-2879 <br /> DATE ! :' -7 ONETIME PICK UP DYES or/NO <br /> CUSTOMER } i, } +2 � .>d(� -7 RESIDENT ❑ YES or/NO <br /> BILLING ADDRESS ,j CONTRACT CUSTOMER VYES or ❑ NO <br /> PHONE :V f. 1 ) `f.�,�.. �L.r[..r EX CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA N Y YT L. J.00 f 2 611 AMOUNT <br /> JOB SITE ADDRESS . ,�Ir, - ,- {tr . CHECK NUMBER <br /> 7 <br /> 4' ra. gra <br /> Y �T ) „F s PO.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> 1 IS - COMMODITY <br /> HALIDES L�/e<�3✓y!; 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 /> // h <br /> MANIFEST NO. t%f��t ll�"���! � J NO.OF GALLONS <br /> DRIVER -Q.x It TRUCK NO.&RT. <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER, <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue, Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY 1 <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL000161743•(510)476-1740 <br /> ❑ BAYSIDE OIL II,INC.•210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(400)427-3778 <br /> ❑ PARLIER FACILITY. 14287E.Manning.Parker,CA 93648.CAL000102751.(559)496-0240 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> f DIK DIXON.7300 Chevron Way.Dixon,CA 95620.CAT080012602.(707)693-6008 <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 /> US IL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify thafthe 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. <br /> `I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.;. X <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X - <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY RC.B'S. PRINT NAME <br />