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SERVICE ORDER <br /> = = No. N 416801 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE �!� ONETIME PICK UP El YES or*�O <br /> CUSTOMER ° ` �C � +' RESIDENT ❑ YES or 1110 <br /> BILLINGADDRESS ,> ta /f� � CONTRACT CUSTOMER ❑ YES or WO <br /> (� f <br /> D <br /> PHONE CUSTOMER NUMBER �� <br /> y J CONTACTGLf % <br /> CUSTOMER EPA# P ` �U ` S�' AMOUNT <br /> JOB SITE ADDRESS CHECK NUMBER <br /> l <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY 4) <br /> HALIDES Z`/*'�4:�' P.P.M. <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIL/MIXED OILS)STATE CODE 6 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATEZ <br /> ❑ OTHER 7 �? DRUMS DRUM`S`IZE <br /> MANIFEST NO. f b� � � NO.OF GALLONS 35. <br /> ----�, <br /> DRIVER TRUCK NO.&RT. ! f <br /> !�//�S':�✓ �� <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer Street•Alviso,CA 95502•CA1000161743•(408)262-1360 <br /> ❑ BAYSIDE OIL II,INC.•210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(408)427-3778 <br /> ❑ ARTESIAN OIL RECOVERY INC.•2306 Magnolia Street•Oakland,CA 94067•CAL000233905•(510)839-4234 <br /> ❑ DeMENNOXERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> ❑ OCS-3255 N.Marks Street.•Fresno,CA 93722•CAD980673842•(559)485-5496 <br /> RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD44003556•(916)371-5747 <br /> ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ 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,anjfVansportt'09 <br /> in proper co dition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department /� _� <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY f 1 f <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. C S ER SIGNATURI j —� DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X Own""^ b1 V 0./ <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />