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FORM NO.AES003 <br /> = _-= <br /> ERVICE 0RDE1 <br /> ASBURY ENVIRONMENTAL SERVICES D <br /> 1300 SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 ❑ (310) 886-3400 <br /> EPA#CAD028277036 Ah. ` <br /> i.. <br /> DIXON UNION CITY C1711CO <br /> 800-727-2879 888-603-8844 800-733-9043 <br /> DATE 1 ONE TIME PICKUP DYES or ❑NO <br /> CUSTOMER RESIDENCE ❑ YES or ❑ NC <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NC <br /> PLEASE PAY FROM THIS <br /> _ SERVICE ORDER <br /> PHONE ' r' ) %� � CONTACT i3'�� -w' CUSTOMER NUMBER <br /> CUSTOMER EPA# � -c AMOUNT <br /> JOB SITE ADDRESS 4_"3VZ <br /> CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> / F h (AMOUNT) <br /> y� l <br /> NOTES: ��-JF�r �-� C:.. I COMMODITY - <br /> �,,,,,, <br /> HALIDES ` P.P.M. <br /> ❑'._NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE, LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER TRUCK NO.&RT. , 1 <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ SA RECYCLING, 33210 Western Aven e,Union City,CA 94587 1-510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO II,LLC•1618 W.5th St.,Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA•200 Dinsmore Dr.,Fortuna,CA 95540•CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON•7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑­DEMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> /0 EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> ❑ SAN JOAQUIN FILTER RECYCLING•14287 E.Manning Ave.•Parlier,CA 93648•CAL000102751 o(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described, packaged, marke, <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled,and are in proper condition for transportation;according to the applicable regulations c <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Departure of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <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.. CUSTOMER SIGNATURE BATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL � m <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR "� O�.e__.._.i�i/k <br />