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SERVICE ORDER <br /> No. N 416906 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CAUFORNIA 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 � � ONETIME PICK UP EI YES or O <br /> CUSTOMERS e1 "r'� / w <br /> RESIDENT El YES or grN0 <br /> BILLING ADDRESS � Gid f�//,Z �,d CONTRACT CUSTOMER ❑ YES or KTNO <br /> PHON '� / �Y?l CONTACT CUSTOMER NUMBER -A �t�- <br /> CUSTOMER EPA# C -/`r/ /�� f�y12 f- <br /> -' AMOUNT / <br /> r <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> t,MOUNT) <br /> NOTES: COMMODITY At–, <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/7? *� <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. —Z �J L G T f NO.OF GALLONS <br /> DRIVER f�L�iTJfy� /�°� TRUCK NO.&FIT. <br /> r <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 /> ,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 This is to cert tat the above named articles ar roperly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and lab nd at in proper Condition for tran rtation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the D art nt Tr in prop ion. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY '" J y� <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. COSTO ERSIGNAURE DATE -' <br /> 1 <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X / <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY P.C.B'S. PRI NAME <br />