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1 <br /> • _ _ __ _ • SERVICE ORDER <br /> =— No. N - <br /> l ,,I <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CAUFORNIA 90222 ❑ (31.0) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800-748-5744 EPACAD028277036 `.1-800-727-2879 <br /> DATE !.4 `5 ` C.} i ONETIME PICKUP EI YES or XNO <br /> CUSTOMER —1 ) ' " RESIDENT ❑ YES or W NO <br /> BILLING ADDRESS ( CONTRACT CUSTOMER OYES or ❑ NO <br /> PHONE '1� CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# '/ !41 6,(,)') 16; ' r»} ,r AMOUNT <br /> JOB SITE ADDRESS t'0 0) A' ' 'it JL! CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> TOTES: COMMODITY Ir211-0 - <br /> HALIDES RP.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 DRUMS DRUM SIZE <br /> ,J <br /> MANIFESTNO. ,�'`Ir1"��! /�7 ") I t NO.OF GALLONS /(..''tJ <br /> J <br /> ✓ q 112 <br /> DRIVER �"� t i'd' f }' T, r"`. <br /> TRUCK NO.&RT L� <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILT R - <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•CAD088838222•(408)427-3778. <br /> ❑ PARLIER FACILITY• 14287 E.Manning•Parlier,CA 93648•CALOD0102751•(559)498-0240 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352-(310)537-7100 <br /> D/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 /> ❑ ALTERNATE FACILITY <br /> ED 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 /> .CYCLED 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 /> -1 HEREBY THAT I HAVAN / 1 107 <br /> OTHER WASTE,TIHAT FY THE TO ALEHAL DESNOTxARE LESED S THAN 1THIS WASTEv00T0 PPMY X - 0 <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br /> *I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR PRINT NAME' <br /> CONTAINS ANY P.C.B'S. <br />