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<br /> _ } . SERVICE ORDER
<br /> ' FOR .RVICE :t: ,, - ":Tpf�I�p.AESOocB(RJ�v�6o�-:•:'�•':. •
<br /> D1k6 I 'E'iCE r
<br /> 1-8.00-T-ASBURY _ -' _ SERVICE ORDER NO.
<br /> F €SNO' POtTED
<br /> -'59-498-0240 • _ _ N204182-3..
<br /> CPICO OFFICE "
<br /> 80b-733-9043
<br /> ASBURY ENVIRONMENTAL SERVICES
<br /> ' 1300 SOUTH SANTA FE,-COMPTON,CA 90221
<br /> H• viA DE PGL EWTI.�RPRISI~S.• STOCKTON-• : -1:310-886-3400. . - VAN DE POL ENTFRPR1$ES=PSI'
<br /> t TRANSPORTER EPA#CAD028z77036 p;0, Sf�X 12Q7
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<br /> E y
<br /> ° CA 95F05 ST'OCKTON;GA ID&M
<br /> T ,. E1 :34*1 fQB�'.a4d:913
<br /> C<� .COMER,# „ PtaRi1=,QRD1=R,# :RQ. TE#. ,TR4i- K# CQNTACT NAME., O DER Ti�ICN BY.: P►1-1AS
<br /> 'd'A!�,f�;05 •f i�;- . . .. ,:�+�• .t�.sir• �. 8�: - ..:: '��� � ti�ii'it.'Ui!!: :;.--c. - .
<br /> DA `REQUIRED! ` DA`I`E.1=NTEt NSX7.SE CEbATE CUSTOMER SPA# .:�AANlFES3;#.:
<br /> P
<br /> 1�7fD1 ;
<br /> PART,III DESCRI. ON QTY UNIT PRICE QTY PIU.
<br /> US�E?.C�II~AIAQ-�QASMINE PII,�TERS
<br /> PLEASEpl,FERE k 8 Ti IE I,LOta AMoWr.FR6M 00V. rY`f'iHK M'AREWXISEj AMO t EOM.4I.0.1L AriK.6N SITE, -
<br /> v� TOTAL.
<br /> 'D: G
<br /> -.
<br /> CASH RECT_' C'NECi(#
<br /> PLEASE PAY FROM THiS�SERVICE ORDER '.
<br /> INFORMATION i , ;i•: .:� .
<br /> NQN*116RA:H iRP9Sf iW1 E,.1.4QUi,DdIl3g0;PlWMIXED-01:%'NQP CARR _R QU.iIii=P`:rt :;STP►TE.CO> > 1. :
<br /> 0,�-f C sh R AST L10�lID.ETH LENS; iY,cod,, ouTjoMS)'N.Q:p.A�Al?D.". qY $TATE.GvA
<br /> • �, tri'-�- -� ' - •_�� - _- .. .._ . .. � ,. . . . . a:. Y>>>,
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<br /> i�t�ifil j,J%. f.- •i_ .r' P:'•a
<br /> ,y'-_�� •. - - ro�6•i. •i.'S°i+i .Iii/}.t ..4•.i y,d:: •.u: .•:E' ^:H4?N�:�'..;,eg�,r,
<br /> SA REGYCLI 321.0 Western dvenul3,'Uhidd City;CA 194587.-1=510=dZ 7
<br /> DRUMS:F3111: pit#::EMP,TYDRAMS:-. ,x;:_:::•,!.• ; AQIUTY, �„;;;•F S.C: -1, :ti; ;1_;:. :Sz
<br /> 'G NERAT `R"- AST 'CER IF[OA I --N.
<br /> ThfP'APROPRIATE'80 : • .:. .i.,-..,...:..
<br /> 7i)i= K
<br /> q.to gIrt"that 1�I e$te-d� gkm- atrove I i pLp&m.eiaast 0-'qiSEriti"edtpaekageilti(urkad�ind-fstiefiid,raid ia.Iq'prOpei..0 n liton:fpr iiansporlatlgn;d�c(glrtg7oapplt�tp,5t#Is:.':;i'.,
<br /> and'(edsni ropViatl0na.ey Signing below I alio hereby certify that:
<br /> (Waste oil genetatorjcustomer MUST.lchedc.ONE,of-the,foltowing-three[lo)es).
<br /> 0/1)!pave not mised any of the waste described above With any other hazardous wast•,th!tptal hailde content is LESS than 1,000 ppm,and the utast■does not Centaln any.PCft I have' 'compiled with with the requlremants of the■ppll5l,ble,Califomia uertdof rrvut�gemynt ngulafibn4.lo dste(t+ltrte lhia,fa We.l�agryaa to OCCept ft additional chages for the diapOsaj of iliL waaCe.,
<br /> If the Infornis0oq I ba$`s prbvrdaQ about Ihli ists'islilcWact ,=. :3'=;•,'�
<br /> (1112 l have riot mixed sny of the Waste described above with any other hizardous waste;the total IN Ii eotitepfls GRFJ►7ER than 1,000 ppm,and the wane does not`contain►rty.'PCBs.I. '
<br /> have ptovided'propn documantation to Asbury Environmerital Services to rebut the presumption that this wish was mixed with other haiardoua::waste.t adrae'to■coapt be additi :I charges.,
<br /> for the dlapoaal or this waste It the Information l have provided about'thls waste Is Irtebtraet
<br /> p.R1iTtts.Waal!1R;rrotnR.I±ii.k.R!hJEhstaJ•4e.wlLkt!.Wlfr4rn:h".. .holo'0-il-YPgte#II7(0YI4rid(ps44n_omona�ly.anrppt.maii:9t9tntliyganec}ler:tFE.SQG)#oww..TO".*IW ofmjr.:.;;
<br /> Imowladpe,thi Only waetaFoli Eggl�riW in y;Dl 1 CEti�.FpQ��S5ff tfori,t+nk is!ploy f5tp�lt,DlYsndror Cf SQo soyress.I have not row,00k waste 0 w Sny p"—111 .11 wa►It dr,'•
<br /> Z� �aadtiltStial clia7�ei'for dtglos■f aI dila{rot.te if t)tj�n�oiniadon'1ltliveyrolc►lf,�t!abduS tf1�a wast"a 1 lr� oiticf
<br /> wastti all troth otltir aothca I Yptt1`;[o �„ tt» f'
<br /> ?f;•r-_ry C. ,{ � i _,_r; (. .t., 7Yt, g:F:•�. �.. ell.'- + <-.., I. ';rf` �•' � .. `r!:'_ ;:
<br /> ' • - � ''='�(AI���`erT��i��s%+ toy:�s�Mt� r�(i-tttie=fbl�o._.,iiig.�e�-antl't� t& .
<br /> 1r1)if I im a iarge'giierttity ganerJtigr,I certlfy'Utd I hum's prligrim IrtplagLto-rlduCa the volume and toalctty o1 waste generated td tha'tlepras I IN li�doilla tib ecoftotnicl
<br /> rieticada Sher that,t hays ulecfed ups prat tlQads rtta io4 Of tSeaUtwttt 4lorags,or,disposal CturstKiy,ei!allabisJg nt'whleh mtnlrt>aas the ptrSent and }t titre,at Id hum lot etid
<br /> the enrifpimfsntl'bi;;ifY�15 d_stdalifity
<br /> 'q 'ginarato� ;haLama�s'■good/alt�t��ffd'rl to tglnlMl:i ihy wuti peti and-s61sc[IKi besl'vraits '' ,tjrrlifrit" tSdl
<br /> &01 J j
<br /> C rti'rIgnatdt�e'`. '' r,I tt�te. Date.
<br /> Print Name Print Drivers-NalYie' ,
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