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FORM NO.AES003 <br /> _-- SERVICE ORDER <br /> — — — _ — <br /> No. N748160 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 ❑ (310) 886-3400 <br /> EPA#CAD028277036 <br /> IXON UNION CITY CHICO <br /> 00-727-2879 888-603-8844 800-733-9043 <br /> DATE ONETIME PICK UP El YES or ❑NO <br /> i <br /> CUSTOMER -i t.'r r RESIDENCE ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE �j� CONTACT �_�U�= ' CUSTOMER NUMBER <br /> �� d `T <br /> CUSTOMER EPA# C•b4t2 <br /> e AMOUNT J--r <br /> JOB SITE ADDRESS d CHECK NUMBER <br /> ^ 7 P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: r v COMMODITY <br /> HALIDES P.P.M. <br /> CI NON-RCRA HAZARDOUS WASTE, IQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE, (QUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER l DRUMS DRUM SIZE <br /> MANIFEST NO. / / NO.OF GALLONS <br /> DRIVER >? TRUCK NO.&RTG� <br /> ❑ USED OIL AND GASOLINE FILTER <br /> El SARECYCLING, 33210 Western Av nue,Union City,CA 94587 1-510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY EN IRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ASBURY EN IRONMENTAL SERVICES-CHICO 11,LLC•1618 W.5th St.,Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY EN IRONMENTAL SERVICES-FORTUNA•200 Dinsmore Dr.,Fortuna,CA 95540•CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIE D 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/ ERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> L7 <br /> EV REE <br /> ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS EN RONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> ❑ SAN JOAQU N FILTER RECYCLING• 14287 E.Manning Ave.•Parlier,CA 93648•CAL000102751 •(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY W TER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described,packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY EMENNO/KERDOON THE and labeled,and are in proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN TH WESTERN UNITED STATES. th.n.—t,,, M M T-n—rfati— <br />