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SERVICE ORDER <br /> _ = =_ = No. N 405854 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH AIAMEDA STREET ❑ COMPT ON, 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 / � f ONETIME PICK UP [I YES or <br /> CUSTOMER RESIDENT ❑ YES or lio0 <br /> BILLING ADDRESS J /V-I/�V � � `� CONTRACT CUSTOMER ❑ YES or.A�NO <br /> PHONE CONTACT I CUSTOMER NUMBER <br /> CUSTOMER EPA# AMOUNT <br /> CHECK NUMBER <br /> JOB SITE ADDRESS <br /> P.O.NUMBER <br /> CASH RECEIVED <br /> CROSS STREETS / (AMOUNT) <br /> COMMODITY (tel/ D <br /> NOTES: <br /> HALIDES ZIIA�ej-PP.M. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED OILS)STATE CODE Z Zf <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE NEXT SERVICE DATE Z "� <br /> *NO PLACARDS OR MARKINGS REQUIRED* <br /> DRUMS DRUM SIZE <br /> ❑ OTHER <br /> 2zo 3a ' <br /> MANIFEST NO. � NO.OF GALLONS <br /> DRIVER TRUCK NO.&RT <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 /> ❑ 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 /> P RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD44003556•(916)371-5747 <br /> P ❑ 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 t ce tha the above n d article are properly classified,described, packaged, markec <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labe d,a are'n proper co i'on for tr sportation,according to the applicable regulations o' <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the De en f Tra portation. <br /> *I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY � 7- <br /> OTHER <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.; X \ C T SIGN E DATE <br /> I AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. }}}}}} <br /> _AR ..-.._ <br /> I, *I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR L_EGAL <br />