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• _ _ __ _ • SERVICE ORDER <br /> No. N 555215 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTHAIAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br /> DATE ;J - ! ,3 0- ONE TIME PICK UP OYES or 91NO <br /> i <br /> CUSTOMER. RESIDENT ❑ YES or V NO <br /> BILLING ADDRESS ? CONTRACT CUSTOMER YES or ❑ NO <br /> PHONE I �.-�- J�-�..� CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# f ALt^ ('^/}J " , 'J f ;f j AMOUNT <br /> JOB SITE ADDRESS -``� i ! �- A J -ix{ CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> --\POTES: COMMODITY <br /> HALIDES r°l :` P.P.M. <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(USED OILJMIXED 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 /> ^� <br /> MANIFEST NO. /�'7 )2i I I Pi NO.OF GALLONS <br /> JV <br /> DRIVER F ,"? r 1 !'�} .,J TRUCK NO.&RT. <br /> Y <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTE� <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.Padier,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.CA0044003556 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ALTERNATE FACILITY <br /> OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE to <br /> AT OUR SISTER COMPANY DEMENNO/KERDOON THE This is el certify that the above namedarticlesfor es are properly classified,described, packaged, marked <br /> r the labeled; nt 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 H4RPM.; <br /> .CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY ,7 117"7 <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 100RPM.; 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 P.C.B'S. PRINT NAME <br />