Laserfiche WebLink
SEP-20-2010 09:49A FROM:YANDELL TRUCKAWAY T 2098355060------C Tn:4683433 P.5 <br /> FORM NO.A6003 <br /> I <br /> SERVICE ORDER. <br /> NQ, 6'35355 i <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE I7 COMPTON:,CALIFORNIA 90221 in (310)886.3400 <br /> DIXON UNION CITY <br /> 1-800-727-2879 EPA CAD028277036 1-888-60348844 <br /> i <br /> DATE M / � r ONE TIME PICKUP 0 YES or C1 NO <br /> CUSTOMER_ , °9, j1-� l.� f RES16ENCE DYES. or Q NO f <br /> BILLING ADDRESS CONTRACT CUSTOMER Q YES or 0 NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE ! <br /> CONTACT CUSTOMER NUMBER ! <br /> CUSTOMER EPA q '�• .t r5 e5AMOUNT <br /> JOB SITE ADDRESS `' �!.Cr �'• '_ OH�ECK.NUMBER I <br /> rw A.'0 .I" ."�" ' j 1 (�.. P,O,NUM@ER <br /> P <br /> i <br /> CROSS STREETS CASH RECEIVED F <br /> OU11T1 <br /> NOTES: _ COMMODITY <br /> ' � I <br /> HALIDES c p"" PRM; <br /> NON-RCRA HAZAFIDOUS WASTE,LIQUID(USED OILIMIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> U NNHAZARDOUS IETHYLENE GLYCOL SOLUTIONS)STATE CODE _ I <br /> +NOPLACA OFMARKGS REQRED* <br /> N <br /> EXT SERVICE DATE <br /> ❑ OTHER DRUMS 'DRUM SIZE % r <br /> i <br /> MANIFEST NO. ALLONS <br /> DRIVER e4r ,rte r 1RQQK NO.B F1T: <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> O COMMERCIAL FILTER RECYCLING,33210 VVestern Avenue,Union City,CA,510.497-9277 <br /> , <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSOF: Q ALVISO INREPENDENT OIL-5002 ArCller Street-,Alviso,CA 95502•GAL0001&IT43,t(510)470-1740 I <br /> C7 BAYSIDE OIL II,INC.•210 Encinal Street•Saota'Cruz;CA 95060.CA0688838222•(831)427.3773 <br /> L7 EVERGREEN ENV.•4139 N.Valentine Ave 9-Fresno,CA 93722 a CA0982445882 a(510)795-4400 <br /> Q,DEMENNO(.KEROOON, 2000 N,Alameda Street',Compton,CA 00222•CAT080013352•(310),537-7100 <br /> L9 01K DIXON•7300 Chevron Way•Dixon,CA 95620.:CAT080012602•(707)683.9008 <br /> C1 RAMOS ENVIRONMENTAL.1515 S.River Rood,',W.Sacramento,CA 95681•C-AP044003MO .(916)371-5747 <br /> L7 ASBURY ENVIRONMENTAL SERVICES•2549 laott Avenue q Chipo,CA 9099s-CAL00082r044 <br /> ALTERNATE FACILITY ( ! <br /> 1 <br /> USED OIL,USED ANTIFREEZE AND OILY WATER vyASTE STREAMS ARE This ir0o certify that.the Above named articles ara proopperly,classifled,di;scllbpd;padtag mark <br /> RECYCLED AT OUR SISTER COMPANY PEMENNO/KERDOQN THE and labeled,and are in proper condition tqr traneFwtatfon,'according to the applicflble r0 UI@tlons, f <br /> LARGEST RECYCLER'OF USED OIL IN THE WESTEFtN UNITED STATES. the Department of Transportation <br /> •1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE VyITH ANY z <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.P'S,, <br /> 0IJ970100$!GNAiU 0 AT . <br /> •1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL. � ; <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDIES, OR RH <br /> CONTAINS ANY P.C.B'S• <br />