Laserfiche WebLink
. _ _ __ _ • SERVICE ORDER <br /> No. N 563646 <br /> Ji ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTm ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ 1310)886-3400 <br /> SAN DIEGO OFFICE# NORTHERN CALIFORNIA <br /> - 1-800-748-5744 EPACAD028277036 1-800-727-2879 <br /> DATE -7 ONETIMEPICKUP _ DYES or [7 NO <br /> CUSTOMER 1 .rax i:,. ). RESIDENT ❑ YES or ZJNO <br /> BILLING ADDRESS CONTRACT CUSTOMER { YES or ❑ NO <br /> PHONECONTACT CUSTOMER NUMBER <br /> 1 , <br /> CUSTOMER EPA# /''r=�ir.FJGC't l+ "A flk f'JigLO(�)^ AMOUNT <br /> JOB SITE ADDRESS 11715 fi GAf.-!-c' .•f.�yy—.*".q`,'k-/ CHECK NUMBER. <br /> 7 + �.f J? . , '?. If.� P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED - - <br /> N (AMOUNT) <br /> OTES: COMMODITY !e.'/el <br /> i <br /> HALIDES .�'/,{;,r'G` -P.P.M. <br /> ly 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 DAFE� ~'� <br /> ❑ OTHER DRUMS DRUM SIZE <br /> ME1NIfEST NO: L' I NO.OF GALLONS <br /> DRIVER ' <;�.(J t `:yf"f' ,..;: ::.• - TRUCK NO.8 RT. <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER f <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 II,INC.-210 Encinal Street-Santa Cruz,CA 95060•CA0088838222•(408)427-3778 - <br /> ❑ "PARLIER FACILITY•14287 E.Manning.Parlier,CA 93648.CAL000102751•(559)4WO240 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street-Compton,CA 90222•CAT080013352•(310)537-7100 - <br /> ?` <br /> �j KD/K 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 /> �0 ALTERNATE FACILITY <br /> -0 OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described, packaged, marked <br /> YCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and are in proper condition for transportation, according to the applicable regulations ofi <br /> ..GEST RECYCLER•OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation. - <br /> -1 HEREBY CERTIFY THAT LHAVE NOT MIXED THIS WASTE WITH ANY f ,y�.trc ` <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM.; X - �_�_�_ <br /> 07 <br /> AND THAT THE 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 P.C.B'S. - PRINT NAME <br />