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12/28/2000 00:50 2099425248 HARBOR STOCKTON PAGE 101 <br /> SERVICE 00 6ERKim <br /> No. N 3354411 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO 4FICE NORTHERN OFFICE <br /> 1-800-748-5744 EPA NO.CAD028277036 1-800-727-2879 p <br /> 1-800-933-9194 <br /> DATE '� C... ILI <br /> ONE TIME NICK UP ❑ YESO <br /> CUSTOMER �"" / - + RESIDENT ❑ YES'' tr <br /> r�Ii] <br /> d <br /> BILLING ADDRESS i �' �ff�` CONTRACT'CUSTOMER <br /> exits (IYES i 1 <br /> PHON. •+ < r. CONTACT_ ACCOUNT NUMBER .; <br /> CUSTOMER EPA# f C P7 e ?" �' r- AMOUNT C , <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O, NUMBER a <br /> CROSS STREETS CASH RECEIVED <br /> I <br /> NOTES: COMMODITY <br /> HALIDES � <br /> P.P.M. <br /> I <br /> NON RCRA HAZARDOUS WASTE LI UID(Used Ok Mbwd Oft)NO PLACARD REQUIRED <br /> ❑ NON RCRA HAZ�0011. <br /> QUS WASTE LI ID,CALIFORNIA REGULATED WASTE ONLY <br /> (Gtyaol Water) RDS RE IRED NEXT SERVICE DATE )' <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. I {? r7 .''r� t� <br /> NO.OF GALLONS <br /> r. <br /> DRIVER ;'+�'w TRUCK NO.b RT. <br /> ' I <br /> ❑ NON HAZARDOUSIDFI'hNED USED L RS <br /> DESIGNATED TSDF; I ❑ ALVI INDEPENDI=NT OIL—,5002 ATUtW 5t„-AMw,CA 95002 <br /> ❑ BAYSIDE OIL 11,INC.-210 Enc(nal St.manta Cruz,CA 95060 Y{ <br /> ❑ OTHER FACILITY <br /> ❑ De=1401KERDOON-2000 N.Alameda St.—Compton,CA 90222 <br /> fyCS 256 N.MaAts SL--Fresno,CA 93722 <br /> RAMO ENVIRONMENTAL-1515 S.River Road—W.Sacramento,CA 95691 <br /> This Is to Cettlly that the above named articles ate properly classified, descri ► <br /> marked and labeled and are Inro <br /> p per Condition for transportation,according to eppl <br /> regulations of the Department of Transportation. 6I <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THIS WASTE W"ANY OTHER WASTE,AND THE x <br /> TOTAL HALIDES ARE LESS THAN I000 P.P.M. CUSTOMER SIGNATURE <br /> DATRI <br /> I FURTHER AGR4E TO ACCEPT THE ADDITIONAL <br /> CHARGES FOR L DISPOSAL I THIS WASTE X <br /> IS OVER 1000 P.F-Mf,x11'OTAL HALIDES PRINT NAME <br /> i' <br /> Mi" is <br />