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Gdc-03-Q8 13:38 From-DI Dizo 17076782339 T-445 P,008/009 F-886
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<br /> FORM N0 AEBDO+ 8(�t1W)
<br /> PMN
<br /> OFFICE - - SERVICC ORDER NO•
<br /> 1-800-7AS8URY
<br /> U1NION CITY OFFICE
<br /> E
<br /> I86245b
<br /> 1 -8"4
<br /> A30URY ENVIRONMENTAL SERVICE$
<br /> 1300 SOUTH SANTA FE,COMPTON CA 60221
<br /> ►°, 14W"?44495 SF FETV KJ-EjI ' .CORPORATE
<br /> P BDB$ .LUHE OIL
<br /> n 140$ CGONTRY CLUB TRANSPORTER EPA 0 CA0028277036 �28 'F'RC18PERQU5 .'PI.AGE ,
<br /> o STQC1(`fDN,CA 95291 LEXINtTOW,. .KY' 40509
<br /> 943-8748
<br /> 91 U R
<br /> RDE ROUTE 8 TROO I1 I I E OA:DE�TA N D
<br /> BE
<br /> DATE ENTERED NEXT SERVICE'OAT CUBTONIE PA* �'_� NIF�T
<br /> jad
<br /> per' RI PT ION I QTY UNn p CTY
<br /> wo';::' L•'USEs^ 01L' i MIXED OILS,: i 11
<br /> WQSC , USED 014, SERVICE CHARGE r:r
<br /> 1tw Streetse � TOTAL
<br /> P Y i OM THIS s v� ORata
<br /> CASH RECD:_;_._.^` CNE 11P : ,..
<br /> WASTI oW09-At, i or:�u►1'�N
<br /> NON-RCRA HA7�IRIa0U8 Wi rTE,LIQUID(UBEQ �001, .97 REQUIRED", $TAPE CODE 221
<br /> NON-RCRA 4A711RDOUS WASTE,hIAL11D IETHYLEke QI.YCOI.80L.uTI0A1Sa`ND'PU►CARDS RE«UIRED• STATE CODE
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<br /> -DEMONATED TSDF: =9 :T YlZ1► .■�
<br /> ALTERNATE I�wr:'. .:I•I.' 111.r.:q. v i!
<br /> CFR:33210 Western Avon ,Union City,CA 9MT(510)451.91"
<br /> ORIANSJ!Ilt: .� EM DRUM$; FACWT,Y*. BSC
<br /> GENRATOR WASTIE.GER1 IFICAI'IOFt
<br /> PLEASE CHECK THE APPROPRIATE BOX
<br /> MO a 14 andh the no ww4 dtwatbed segue RM My
<br /> 918551`11044+OO+W AOCMI604^ter end l •iO4 ana.0 In pm"r G�G?ft for inn•POru!MOI'a OxarOlnq m apglcrbl■mule
<br /> and fed"rep cation•.Ar signing 00aw I deu rw*&Y cal-ft that
<br /> (Waste dl tele ! o&ONE,of 1bll Jr>q Ifi�ee b�ax s) .
<br /> rsttr �,vs�orhlear MU ch �, �..
<br /> 11_...., oil ..: , I' 1
<br /> >ri1 I haw not mla•O anY d the waste a•trlPad actor•with any other haesreou•w.i u�o,to e•@nems lN•is o Spee•to ac •A1 dw additional h�D••for thte d,344k 001 �dl•PO••I of this wwu
<br /> &poled with pie requlrsm"M Of tM epprlcael•Cemotnla used oil manarm.nt r•qu
<br /> M dra IrdOfrllMlon�1 IMO ebtuut w u •• ;, •I^I,db
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<br /> claw eat NvUd on area weep dawAbad abovs widi.0 oder haa unlIll wwd Maa Iodl hrlde jbnt h OREItYtA nwr't,000'PPn,. alts do"not on.ddltlon•1 B*,ryes
<br /> 40CWIIerdedwo to Asbury"formlentm rer,rloe•to rebut 1M Prre,enpum tat th1e waste was cored whn attar husrdou+
<br /> for Ma dkp*W of IN•WOO&If ala In Onowd'n 1 her■fraAdw these d"was"in uteortW
<br /> p r])Thio weed h from■tank whkh cwu•ct•weed oil hum hanalwld•do•Iyrarwur 10161 endror edndldonallr eaunPt•maN Wwuty o in"mr 10Ee001 edaretw.To the twill Of MY
<br /> ri 03)TWO vma only woad oN oorlWnad M err Plvr CE600 cad•ad•n ter*is noisy Mom CfV endlor CESWea.ress.I her•not nytt•d this wools OII with siri other herardout w■■u or
<br /> weed all town ogler GOW00,;t ave•to scow am
<br /> pddil,10"chars tw da QNM Of nd■wry h the b�ormh+itw I ham provided Bean tda Wool d ImOn rs
<br /> (AM 9eneratmjcusWnWs MUSTfend the following text and check the assodMad box.)
<br /> M1 M I am a laffla t�WWY awtol roW,I ON"}het 1 hire a pn7WW M puce to reduce the v 4 ma and toelclty Olwro%rivo
<br /> b an d•lirua I hats dodrrdned to he scone"celly
<br /> a wrr•ntl avMlsel■to nM •eIca pr•rwtt hmav threat tohuman IIh and
<br /> WicacalloW end that I hate taleaeed 01•P A"Aled dtraabltant,alaapa, deposal y r■ w+t m edthN I.evdlebMnt•a+rrl er,it 1 a tib Qehlntmr I have w •n•ntlont. waw J/ V-C �Ipryltu ,::., Date• prvtu+e Date
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