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SERVICE ORS.., <br /> No. N 405919 <br /> ASBURY,ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALJFORNIA 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 `//G� ONE TIME PICKUP ❑YES or VO <br /> l RESIDENT ❑ YES or K11C <br /> CUSTOMER % SOT <br /> BILLING ADDRESS <br /> CONTRACT CUSTOMER ❑ YES or ( <br /> PHONE �✓ Z CONTACT��T% CUSTOMER'NUMBER <br /> CUSTOMER EPR# C/1 vv AMOUNT �� y <br /> JOB SITE ADDRESS CHECK NUMBER t�/ <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> I <br /> HALIDES <br /> P.P.M. <br /> 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 /> Ll OTHER <br /> DRUMS DRUM SIZE <br /> /,� <br /> MANIFEST NO. Z S GZ� J NO.OF GALLONS <br /> DRIVER G � TRUCK NO.&RT.—T •� <br /> ❑ NON HAZARDOUS DRAINED USED OIL FILTER <br /> ElCOMMERCIAL 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 /> El 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 /> ❑ 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 /> ElASBURY 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 ce ify th t the above arae articles are roperly classified,described, packaged, mai <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and lab led, nd a in proper nditi for transp ati n, according to the applicable regulation <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Dep rtme t of T nsportation <br /> *I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY ��//0 U' <br /> k OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X CUSTOMER SIGN RE DATE <br /> I AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR PRINT AME <br /> CONTAINS ANY P.C.B'S. <br />