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,ya <br /> V <br /> SERVICE ORDER <br /> = = No. N 398111 <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 T I v ONETIME PICK UP DYES or ❑NO <br /> CUSTOMER Q�z- RESIDENT ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER YES or ❑ NO <br /> PHONE Ea i e2 I CONTACT CUSTOMER NbMBER <br /> CUSTOMER EPA# <br /> AMOUNT <br /> JOB SITE ADDRESS Soo I-JA <br /> v CHECK NUMBER <br /> P.O.NUMBER / <br /> CROSS STREETS CASH RECEIVED <br /> � � t� (AMOUNT) <br /> NOTES: i���J COMMODITY <br /> 4 <br /> HALIDES P.P.M. <br /> ❑ NON-RCRA HAZARDOUS WASTE, LIQUID(USED 6IL/MIXED OILS) <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER TRUCK NO.&RT, I C/e✓ <br /> NON HAZARDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue, Union City,CA,510-487-9277 /� <br /> ALTERNATE FACILITY � �''�'� - �JSQN kA `•f � • Clow <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 /> ❑ 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 /> ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928 CAL0008M44— -- <br /> ALTERNATE FACILITY Au.: QC] <br /> USED OIL,USED ANTIF EE AND OILY WATER WASTE STREAMS ARE This is to certifythat the above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOS THE and labeled, anar "n proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Departmentof asportatio4TM <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY /i <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PRM.; X / <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. R SIGNATURE r— DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL Ota "' .I `t -r <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR XALt <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />