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-�°-- SERVICE ORDER <br /> No. N 413516 <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 //b.��.� ONETIME PICKUP EI YES orfNO <br /> CUSTOMER " ,m1- ��`% 1r"��r RESIDENT ❑ YES ojNO <br /> BILLING ADDRESS a-s � �`f> /s3Z, Gt1 r/ CONTRACT CUSTOMER ❑ YES 01� NO <br /> i <br /> PHONE ��!2) C S 41 rZ1 CONTACT ��f CUSTOMER NUMBER <br /> CUSTOMER EPA# AMOUNT <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER ;`!•% -- <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> HALIDES ® P.P.M. <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIUMIXED OILS)STATE CODE Z/ <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE ��°a{ <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. ��� y NO.OF GALLONS --��� <br /> DRIVER ri' /i` TRUCK NO.&RT 7 Y <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Union City,CA,510-487-9277 <br /> O 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 /> [,J. RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD44003556•(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•C 'co, A 95928•CAL000827844 <br /> ❑ ALTERNATE FACILITY . <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE 1 <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE <br /> This is cert tha the ab ov am articles are properly classified,described, packaged, marked <br /> and lab are•n proper diti for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. � <br /> the Dep m t f Tra sportation.•� <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.M.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY RC.B'S.. cl JSTOMEM SICNATURE DATE —Y <br /> R_ <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL Q� T <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X ^` t ` <br /> CONTAINS ANY PC.B'S. J ` PMW NAME <br />