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SEP-20-2,010 09:48A FRON:YANDELL TRUCKAWAY ,T 2098355060------C TO:4683433 P.4
<br /> FORM NO.AES003
<br /> SERVICE ORDER;
<br /> rom
<br /> NO@ Nas
<br /> ASBURY ENVIRONMENTAL SERVICES
<br /> 1300 S.SANTA FE AVENUE o COMPTON,CALIFORNIA 90221 o (310)$Q6-3400
<br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA.
<br /> 1-800-748-5744 EPA CAD028277034- 1-800-72.7-2879
<br /> } I
<br /> DATE r '► '� ONE TIMEt PICKUP 0 YES or ❑NO
<br /> ,+rte
<br /> CUSTOMER . �r !�^► . �' RESIDENCE ❑YES or ❑ NO
<br /> BILLING ADDRESS CONTRACT CUSTOMER A YES or Q NO
<br /> PLEASE RAY FROM THIS
<br /> ,... 07. SERVECE•OROFR
<br /> PHONE C- �{`�� CONTACT ' CUSTOMER NUMPER t
<br /> CUSTOMER EPA+Y �'"_) "� }�?'l ,� i AMOUNT r� i
<br /> �� µ
<br /> JOB SITE ADDRESS T`t "' (f�e" st.a,"".'A t� CMECKNUMEER !
<br /> CROSS STREETS 'CASH RECEIVED; !
<br /> NOTES: t;cINMQP)PY ' i
<br /> :HAUDES. ' +C' , dr -�'ti :R.P.M. l
<br /> Q, NON-RCRA HAZARDOUS WASTE,LIQUID(USED 01UM1XEQ OILS)STATE CODE
<br /> *NO PLACARDS RF-OUIRED•
<br /> O NON-ACRA HAZARDOUS WASTE,LIQUID.(ETHYLENE GLYCOL SQ(t,I1TIONS)S)`AA40.0E
<br /> *NO PLACARDS OR MARKINGS REQUIRED* Mi)(T$ERVICE DATE .., i
<br /> O OTHER +may '.r 17RUMS �:-DRUM SIZE
<br /> MANIFEST NO. e .+� �*' <l .. �� NO.OF GALLONS,
<br /> DRIVER +f, ,'=Ti F a-r.r,v:k-.. r e j 117WC(IS IPf '.
<br /> ❑ NON HAZARDOUS DRAINED USED Oil-FILTER
<br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue;Onion Clty;CA,510-487-92.77
<br /> ❑ ALTERNATE FACILITY j
<br /> DESIGNATED TSOF: © AWI$O INDEPENDENT OIL-.5002 Archer Street-A ylso,CA 96602 CALOg01t317a3*(810) 7 .1740
<br /> ,.8
<br /> i
<br /> Q 13AYSIDE OIL II,INC.•210 Encinal$treat.Sante Cruz,CA 86060*CAP680818222-(408)427.377$ I
<br /> 0 EVERGREEN ENV.*4139 N.Valentine Ave. .Fresno,CA 93722*CA0982446882.(51 g)795-.4400
<br /> Iq,:"6EMENNO/KERDOON -2000 N,Alameda Street-Compton,CA 90222 CAT060013352-(310)537-7100
<br /> p DIK DMXON•7300 Chevron Way•Dixon,CA 95820-9 CAT080012602•(707)6934008
<br /> ❑ FtAIMOS ENVIRONMENTAL.1,515 S.River Ropd..W:Sacramento,CA 9 .CAD044Q03555 «(@16)371+5747
<br /> w# ;
<br /> ASBURY ENVIRONMENTAL SERVICES-2548 SAVgnue-Chico,CA 8.5928•CAL000827844 S
<br /> Q ALTERNAT9 FACILITY
<br /> 1
<br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This to tp Certify.lhat the above nomad artl4le+fWe pro0pp�9rrlo1114dr doepribed,packaged,-parked,
<br /> RECYCLED A7 OUR SISTER COMPANY DEMENNO/KERDOON THE, and labeled;and are in proper condition for traneportaUop,�at:Ct)OlnQ to th0,.,applica0la'regulatlons PI
<br /> LARGEST RECYCLER OF IJSBD OIL IN THE WESTERN UNITED STATES, its Department pf TrtfnepPftpticn•
<br /> 1, l
<br /> -1 HEREBY CERTIFY THAT IHAVE NOT MIXED THIS WASTE WITH ANY +r ��. P, I
<br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P,P.M•; X 1--..:,r �— —•
<br /> AND THAT THE WASTE DOES NOTOONTAIN ANY RO-B'S.• alONATURE..
<br /> ;
<br /> -1 FURTHER AGREE TO ACCEPTTHE ADDITIONAL CHARGES FOR LEt
<br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.tAJOTAL HALIDES,0k..
<br /> PFIINT NAME l
<br /> CONTAINS ANY P.C.B'S. ,td:` I
<br />
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