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SSP-20-2010 09:52A FROM:YANDELL TOUCKAWAY rT 2098355060------C T^:4683433 P.9 <br /> SERVICE ORDER <br /> No. N 66.5.548 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 ❑ (310) 8863400 <br /> DIXON UNION CITY <br /> 1-800-727-2879 EPA CAD028277036 1-888-603-8844 <br /> DATE ONETIME PICK UP ❑YES or ❑NO <br /> CUSTOMER ..,fir-, .— �- ' ;,�, RESIDENCE 0 YES or ❑ NO <br /> i <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NO I <br /> t <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE' � ?ry^ i �:y' '? CONTACT s- ; . ?..•; is �^ CUSTOMER NUMBER I <br /> CUSTOMER EPA# ` 'l s` r� ' '' t r-` -,tly v AMOUNT. <br /> JOB SITE ADDRESS /.�" °"' CHECK NUMBER E <br /> yrs "! CR P.O.NUMBER I <br /> • i <br /> CROSS STREETS CASH RECEIVED <br /> (AM LINT) <br /> NOTES: COMMODITY <br /> HALIDES .`-'_(."7 +!"" C, P.P,M. <br /> t <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 /> MANIFEST NO, `�`� "``. w..� ' �'' c+ <br /> � 1 5�.. NO.OF GALLONS <br /> I <br /> DRIVER r-"' `�. t '�°r 1RUCK NO.$RT. <br /> ( <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ SA RECYCLING, 2035 E.15111 Street,Los Angeles,CA 90021 1-800-645-3458 <br /> ❑ ALTERNATE FACILITY ji <br /> f <br /> DESIGNATED TSDF: ❑ BAKERSFIELD TRANSFER INC.-1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282698•(681)377-0308 <br /> ❑ BAYSIDE OIL II,INC.-210 Encinal Street•Santa Cruz,CA 95060-CAD088830222-(831)427.3773 <br /> ❑ EVERGREEN ENV. *4139 N.Valentine Ave •Fresno,CA 93722.CAD982446882. (510)795-4400 <br /> b DEMENNO/KERDOON -2000 N.Alameda Street-Compton,CA 90222•CAT080013352-(310)537-7100 <br /> Ll DIK DIXON•7300 Chevron Way.Dixon,CA 95620•CAT080012602•(707)693.6008 <br /> O RAMOS ENVIRONMENTAL.1515 S.River Road .W.Sacramento,CA 95691 .CAD044003558 .(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-2549 Scott Avenue-Chico,CA 95928•CALOOD827844 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that a ataove named articles are propperly classified,described,packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled,and art <br /> proper condltl for transportallon, according to the applicable regulations ofl <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Depart m t o Tr sportgtion. . <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.P.Md X /_j <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. C 9TQ ER SI E DATE <br /> I <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X <br /> CONTAINS ANY P.C.B'S. ;h*, NAME <br />