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SEP-20-2010 09:51A FROM:YANDELL TDIJCKAWAY •T 2098355060------C T^'4683433 P.8 <br /> t <br /> FORM NO.AES003 <br /> SERVICE ORDER <br /> -a Fiat <br /> No, N 63 1125 <br /> f <br /> ASBURY ENVIRONMENTAL SERVICES <br /> i' 13OG S.SANTA FE AVENUE O COMPTON,CALIFORNIA 90221 n (310) 886-3400 <br /> I DIXON UNION CITY <br /> 1-804-727-2879 EPA CA=8277036 1-888-603-8844 <br /> GATE i,.• ONE TIME PICKUP OYES or ❑NO <br /> (� •'',• t',.a r � / RESIDENCE0 YESor 0 NO <br /> CUSTOMER <br /> BILLING ADDRESS CONTRACT CUSTOMER n YES or Q NO <br /> PLEASE PAY FROM THIS <br /> _ SERVICE ORDER <br /> i F f ~y CONTACT K""" ''� -a�4• 's CUSTOMER NUMBER <br /> PHONE - .. <br /> .). `.,. <br /> CUSTOMER EPA# t f; •AMOUNT ' <br /> JOB'SITE ADDRESS ' t'`. �' •�." CHECK NUMBER <br /> j <br /> P.O,.NUMBER <br /> CASH RECEIVED <br /> CROSS STREETS <br /> (AMOUNT) <br /> 'NOTES: COMMODITY <br /> HALIDES <br /> I <br /> T : NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO.PLACARDS REQUIRED* <br /> I(] NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE X133 <br /> 1 *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> %p OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. t""� '` r� - { ::: NO.OF GALLONS _ <br /> DRIVER +�-' TRUCK NO.&HT <br /> 10 NONHAZARDOUS DRAINED USED OIL FILTER. <br /> 0 COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487.9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: 0 ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL000161743 4(510)476-1740 <br /> E1 BAYSIDE OIL II,.INC.•210 Encinal Street•Santa Cruz,CA 95060•CA0086938222•(831)427-3773 <br /> E.} EVERGREEN ENV.*41-39 N.Valentine Ave.*Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> DEMENNO/KEItDOON •2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> 0 DIK DIXON•7300 Chevron Way•Dixon,CA 95620*CAT080012602.(707)693-6008 <br /> 0 RAMOS ENVIRONMENTAL.1515 S.River Road .W.Sacramento,CA 95691.CAD044003556 .(%16) <br /> 371-5747 <br /> 0 ASBURY ENVIRONMENTAL SERVICES•2549 Scott`AvenUe•Chico,CA 95928•CAL000827844 <br /> 10 ALTERNATE FACILITY <br /> USED 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 /> RECYCLED 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 CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE;THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.11M.; X ? "''"" I I <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P..C.B'S.. CU TOMG SI AY 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 5RK NAKf <br /> CONTAINS ANY P.C.B'S. <br />