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. _ _ __ _ • SERVICE ORDER <br /> No. N 585834 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 D (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> .1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br /> DATE t' 0 - 07 ONETIME PICK UP DYES or/No <br /> r' r <br /> CUSTOMER ;is -t RESIDENT ❑ YES or/No <br /> t <br /> BILLING ADDRESS CONTRACT CUSTOMER /YES or ❑ NO <br /> PHONErZ6'Ltr�t tt G^ CONTACT CUSTOMERNUMBER F�� Z74 <br /> CUSTOMER EPA# P PL }I.000 1,-q,) '! AMOUNT <br /> JOB SITE ADDRESS /171,r/r Xj, L'7 ....%`. CHECK NUMBER <br /> i?7:{r.:?`) f L -L `f ;;X I(l P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> ES: COMMODITY E>rA <br /> �,T <br /> HALIDES -eW7,l7 P.P.M. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED 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 ,r ,r r / DRUMS DRUM SIZE <br /> MANIFEST NO. f-fG'/ t` �:�! 'ir NO.OF GALLONS /V <br /> DRIVER TRUCK NO.&RT. �,J <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502 CAL000161743.•(510)476-1740 <br /> ❑ BAYSIDE OIL 11,INC.•210 Encinal Street•Santa Cruz,CA 95060•CA0088838222•(408)427-3778 <br /> ❑ PARLIER FACILITY•14287E.Manning•Parlier,CA 93648•CAL000102751.(559)498-0240 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> P,�D/K DIXON•7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-0008 <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 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. <br /> 'I HEREBY CERTIFY I HAVE NOT MIXED THIS WASTE <br /> AN <br /> OTHER WASTE,THATTHAT THE TOTAL HALIDES ARE LESS THAN 1v000.ITH RPM,; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. - CUSTOMER SIGNATURE 0.47E <br /> 4 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 P.C.B'S. - PRINT NAME <br />