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No. H417333 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-1810 <br /> SAN DIEGO OFFICE NORTHERN OFFICE <br /> 1-800-748-5744 EPA NO.CAD028277036 j-$OO-7 ASBURY € <br /> SERVICE ORDER <br /> DATE ©� O� ONE TIME PICK UP ❑ YES or ❑ NO <br /> CUSTOMER 1 " ` �rt/ RESIDENCE ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER YYES or ❑ NO <br /> PHONE `oV CONTACT f1K / C \5 CUSTOMER NUMBER `'-3 1 6� <br /> CUSTOMER EPA ii_ 64L 00 !K AMOUNT 9C./ �C-%0 <br /> JOB SITE ADDRESSO� t,f-t �. CHECK NUMBER <br /> C` ` P.O. NUMBER <br /> CROSS STREET CASH RECEIVED <br /> �J(AMOUNT) <br /> NOTES: ZAU U V UU, --S COMMODITY <br /> HALIDES - 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 SOLUTION) STATE CODE <br /> 'NO PLACARDS OR MARKINGS REQUIRED` NEXT SERVICE DATE <br /> ❑ OTHER DRUMS z DRUM SIZE <br /> MANIFEST NO. /� NO.OF GALLONS <br /> DRIVER I /1 ,j O�� TRUCK NO.&RT. f�G/ <br /> NON-HAZARDOUS DRAINED USED OIL FILTERS x <br /> ❑DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N.Alameda Street, Compton, CA 90222, (310)537-7100, CAT080013352 <br /> DESIGNATED TSDF:Ad an ed Environmental, Inc. 13579 Whittram Aver Fontana, CA 92335, (909)356-0245, CAT080025711 <br /> ALTERNATE TSDF: �4R - S la�t„1 AVC , LA-C;,A. 94�J1 <br /> This is to certify tat the above name art les are properly classified, described, packaged, <br /> marked and I and are in proper c dit n for transportation,according to the applicable <br /> regulations of h ent of Transpo do <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE <br /> WITH ANY OTHER WASTE, THAT THE TOTAL HALIDES ARE <br /> LESS THAN 1000 P.P.M.; AND THAT THE WASTE DOES NOT STOMER SIGNAT E DATE <br /> CONTAIN ANY P.C.B:S. <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES <br /> FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. <br /> TOTAL HALIDES,OR CONTAINS ANY P.C.B.S. <br /> PR N NAME <br />