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SERVICE ORDER <br /> =_ = No. N 421447 <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 ) U ONETIME PICK-UP DYES or RfNO <br /> CUSTOMER �, <br /> Q/PiQL_ RESIDENT ❑ YES or I 'NO <br /> BILLING ADDRESS tJ tJ V© /� �� _ /IfY CONTRACT CUSTOMER' RYES or`❑ NO <br /> PHON !29 ` tl ( CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# r[ ��Ul� �1 69 AMOUNT -` <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER /L IF <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> HALIDES. .G /Oao PPM. <br /> A NON RCRA HAZARDOUS WASTE,LIQUID(USED OIQMIXED OILS)STATE CODE <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA;HAZARDOUS WASTE,,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE - <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE L✓ <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. <br /> NO.'OF'GALL'ONS Z'D <br /> '' • TRUCK NO.&RT. <br /> DRIVER llS 1 LI I <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.•Alyiso,CA 95502•CA1000161743•(408)262-1360 <br /> Q BAYSIDE OIL 11,1114C. 210 Encinal Street•Santa Cruz,CA 95060•CAD0888a8222•(408)427-3778 <br /> ❑ ARTESIAN OIL RECOVERY INC.•2306 Magnolia Street•Oakland,CA 94067 CAL000233905•(510)839-4234 <br /> ElDeMENNOXERDOON•2000 N.Alameda Street•Compton,CA 90222•CATQ 0013352•(310)537-7100 <br /> ❑ OCS-3255 N.Marks Street.A •Fresno,CA 93722•CAD980673842•(559)485-5496 <br /> AM11 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 cert- that the above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR.SISTER COMPANY.DEMENNO/KERDOON THE and labeled, a re in proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department f ansportatio <br /> *1 HEREBY CERTIFY THAT i HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN a000 P.P.M.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CU OMER SIGNATURE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL P.P.M. r�� <br /> DISPOSAL IF THIS WASTE IS OVER 1000 M.TOTAL HALIDES, OR <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />