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r <br /> SERVICE ORDER <br /> = = No. N 401764 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CAUFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CAUFORNIA <br /> 1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE ONETIME ONETIME PICK UP DYES or,<NO <br /> CUSTOMER _ -, � ,-,X• ,r'-✓. '( IDENT ❑ YES oro NO <br /> cEp � <br /> BILLING ADDRESS <br /> CTS ,}�t' 1- J CONTRACT CUSTOMER ❑ YES or NO <br /> Z� /'T� /" �-;c� \•1` t. <br /> j �2 s CUSTOMER NUMBER <br /> PHONE CONTACT 1� <br /> r <br /> CUSTOMER EPA# � � J 1612 .i-&J yAMOUNT <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> I <br /> fir° <br /> NOTES: COMMODITY W <br /> a <br /> HALIDES , �,c��' P.P.M. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 4 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE NEXT SERVICE DATE �.�' r <br /> *NO PLACARDS OR MARKINGS REQUIRED <br /> El OTHER DRUMS DRUM SIZE <br /> / 1 OF GALLONS <br /> MANIFEST NO. � �f.L :�•fr � NO. Z�� ,,, <br /> DRIVER ~ _ TRUCK NO.&RT. <br /> ❑ NONHAZARDOUS 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 /> W.- 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 <br /> This is to certify t a m the above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. and labeled,and rg proper condition for transportation,according to the applicable regulations of <br /> the Department.I TlansportatiOX. <br /> ITH AN <br /> OTHER WASTE,THATTHAT THE TOTAL H*1 HEREBY CERTIFY I HAVE A IDES ARE LESS THAN T MIXED THIS WASTE 1v000 RPM.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. --' CUSTOMER SIGNATURE DATE <br /> _ F x <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X t %(mss < �V'rDISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR � " <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />