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SERVICE ORDER <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 �Z' ONETIME PICK UP ❑YES or,"O <br /> CUSTOMER �--. -�'.t.:r: �y-_:1�- r- J—L=/' <br /> RESIDENT ❑ YES or--ft`NO <br /> BILLING ADDRESS / 1/. r �It? , - t fJ;r� -' CONTRACT CUSTOMER El YES or_P'NO <br /> � 4 �-��' � <br /> c <br /> CONTACT CUSTOMER NUMBER fT ' <br /> PHONE; i <br /> rte+ �') <br /> CUSTOMER EPA# £`�6�i.r`,f�.` �/-c�S�--y AMOUNT—� <br /> JOB SITE ADDRESS CHECK NUMBER <br /> / ?/' '' 7 <br /> P.O.NUMBER ! ►-2�i7 <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> COMMODITY <br /> NOTES: <br /> HALIDES R O�4 P.P.M. <br /> `7 .r <br /> C` NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIL/MIXED OILS)STATE CODE <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE NEXT SERVICE DATE <br /> *NO PLACARDS OR MARKINGS REQUIRED* <br /> ❑ OTHER DRUMS DRUM SIZE <br /> /,�f z •l.ss'� <br /> MANIFEST NO. rr�,��,r./ � NO.OF GALLONS <br /> DRIVER <br /> z�: r f TRUCK NO.&RT. <br /> r�� � ��" e <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 11,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 /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton, CA 90222•CAT080013352•(310)537-7100 <br /> EIOCS-3255 N.Marks Street.•Fresno,CA 93722•CAD980673842 (559)485-5496 <br /> RAMOS ENVIRONMENTAL• 1515 S.River Road•W.Sacramehlo,CA 95691 •CAD44003556•(916)371-5747 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chic4,CA 95928•CAL000827844 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above Hamed articles are properly classified, described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE ani labelpd,and I,are in proper cbpdition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the VepalrAent of Transportptlon 1 <br /> .� <br /> HEREBY MIXED 1 <br /> OTHERWA TE,THAT THE TOTAL HALIDES ARE LESS THAN 000 RPM.. X�,u <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S_ ? ! T�USTOMER SIGNATURE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGALX `.ti t ti ��✓. ` °,, ;" <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> PRINT NAME <br /> CONTAINS ANY P.C.B'S. -� <br />