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SERVICE ORDER <br /> mm No. N 416908 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑NORTHERN CALIFORNIA <br /> SAN DIEGO OFFICE EPA CAD028277036 1-800-727-2879 <br /> 1-800-748-5744 1-800-933-9194 <br /> �,.����� ONETIME PICKUP ❑YES or�0 <br /> DATE ❑ YES or'"o <br /> RESIDENT ' <br /> CUSTOMER � 'E'" '�� <br /> CONTRACT CUSTOMER El YES or4NO <br /> BILLING ADDRESS ✓ ! !!�� <br /> CUSTOMER NyMBER <br /> 9) <br /> CONTACT <br /> PHONE t <br /> AMOUNT <br /> CUSTOMER EPA# / <br /> CHECK NUMBER <br /> JOB SITE ADDRESS t� <br /> P.O.NUMBER / `/ / (J <br /> CASH RECEIVED (AMOUNT) <br /> CROSS STREETS <br /> COMMODITY <br /> NATES: f �} <br /> I HALIDES ftp P.P.M. <br /> I <br /> I 7 t <br /> NO RA HAZARDOUS WASTE, LIQUID(USED OIQMIXED OILS)STATE CODE <br /> *NO CARDS REQUIRED* <br /> ❑ NNO PLACARDS R MARKINGS REQUIRED* DRUMS <br /> SOLUTIONS)STATE CODE NEXT SERVICE DATE <br /> DRUMS DRUM SIZE <br /> ❑ OTHER NO.OF GALLONS <br /> � MANIFEST NO. /- <br /> r TRUCK NO.&FIT. <br /> DRIVER f� e <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> 0COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487-9277 <br /> ❑� ALTERNATE FACILITY <br /> 2 CAI0001 <br /> DESIGNATED TSDF: ❑ ALVISO BAYS DE OIL 11,NC.N2 ONDEI Enc Ona?Streetr Santa C uz Street- SCA 950600 CAD0888382223(408)427-3778 0 <br /> �I ❑ <br /> ARTESIAN <br /> NO/KERDOON RECOVERY200 N Alameda Street-Compton,CA CA 90222 akland,CA9CAT08001133524067- ?(310)537101009 42 <br /> !' - ❑ Street <br /> DeME <br /> I <br /> ❑ OCS-3255 N.Marks Street.•Fresno,CA 93722•CAD980673842•(559)691-5496 <br /> X RAMOS ENVIRONMENTAL•1515 S.Rive 2549 Scott Ave ue e nto <br /> Chico,CA 95928 ACAL00082D44003557844(916)371-5747 I <br /> El ASBURY ENVIRONMENTAL SERVICES <br /> ❑ ALTERNATE FACILITY <br /> �lthat the above named artic sjI properly classified,described,packaged, mark <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br /> This is to cer�rfy, applicable regulations <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE the labeled, <br /> a ertd,and are in r er condition to <br /> t�nsportation,according to the app 9 <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. �n of TrarTsp /— <br /> I J! <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY r ( DATE <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM.; X CUSTO R SIGNATURE <br /> { AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL 1 <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR PRINT NAME <br /> I CONTAINS ANY P.C.B'S. <br />