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SERVICE ORDER <br /> No. N 405850 <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 lq& - ONE TIME PICK UP ❑YES or X10 <br /> CUSTOMER RESIDENT El YES orllN0 <br /> BILLING ADDRESS S"G7� r� d / � Gl//�lj CONTRACT CUSTOMER ❑ YES or,$ NO <br /> PHONE �� �.'�l5 CONTACT P7t( IJ CUSTOMERNUMBER <br /> CUSTOMER EPA# ����� /. b �G� ` AMOUNT w. <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> HALIDES � � P.P.M. <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIUMIXED OILS)STATE CODE <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE, LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE n , <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER r DRUMS DRUM SIZE <br /> MANIFEST NO. ` lO(i �7 NO.OF GALLONS 35'y / <br /> DRIVER � ;44- 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 /> 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 certifyth e above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and a i properY/�� <br /> ition for transportation, according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of asportatio <br /> *I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY /�1-1-t -Ai OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1'600 RPM.. X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURJEE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X J , &// (lLDISPOSAL IF THIS WASTE IS OVER 1000 P.PM.TOTAL HALIDES, OR r`� r_ 11 1 <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />