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u� SERVICE ORDER <br /> No. N 413462 <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'KNO <br /> CUSTOMER / `'-��/`' L RESIDENT ❑ YES or q10 <br /> BILLING ADDRESS > �"�� �:z I "�lrr CONTRACT CUSTOMER OYES or'41NO <br /> PHONE/e- 'Z <br /> HONE e CONTACT 1>09f CUSTOMER NUMBER -V/ L r <br /> CUSTOMER EPA# 62 ,' AMOUNT <br /> i <br /> JOB SITE ADDRESS CHECK NUMBER <br /> s' <br /> P.O.NUMBER i <br /> CROSS STREETS CASH RECEIVED <br /> r (AM,UNIT) <br /> NOTES: a �' r 6+eel,—Ca COMMODITY <br /> HALIDES P.P.M. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 2- <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS—DRUM SIZE <br /> MANIFEST NO. f' ✓�' <br /> �P NO.OF GALLONS <br /> DRIVER G-' fes! /r TRUCK NO.&RT. <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 /> Zr 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 cehgy that the above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, r4 are in proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Departme t of Transport4on. <br /> 1 <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 P.C.B'S.. i CUSTOMER SIGNATURE DATE <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. PRINT NAME <br />