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To:l Fror- DDS 40 sat 21 Nov 1992 19:47:56 page: 7 <br /> SERVICE CRPER <br /> Na. N 265710 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET o COMPTON, CALIFORNIA 90222 u (310) 886-3400 <br /> SAN DIEGO O FICF NORTHERN OFFICE <br /> 1.800-748-5744 EPA NO.CAM82770M 1-800-727-2879 <br /> 1-800-933-9194.' <br /> DATE^ ?T ONE TIME PICKUP ❑ YES.or Pte. <br /> CUSTOMEFI 42^ I RESIDENT E7 YES or <br /> BILLING ADDRESS _ ,L CONTRACT CUSTOMER U496 or 17 NO <br /> � f ` <br /> CONTACT ACCOUNT NUMBER C✓��/�` <br /> CUSTOMER EPA N AMOUNT <br /> JOB SITE ADDRESS ? ,Ss� , S 7; CHECK NUMBER <br /> P.O. NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> NOTES: COMMODITY L1/rte <br /> HALIDES -,.. P.P.M. <br /> COMBUSTIBLE LIQUID, N.O.S. SED OILS&MIXED OILS) <br /> NA 1993, PG Ill <br /> 0 ETHYLENE GLYCOL.NON•RCRA <br /> HAZARDOUS HPASTE LIQUID NO PLACARD REQUIREl7 NEXT SERVICE FATE <br /> t <br /> 0 U.S,DOT DESCRIPTION: DRUMS <br /> MANIFEST NO. �! �� NO. OF GALLONS <br /> - 2'-.-r <br /> TRUCK NO.&RT <br /> DRIVER- ' <br /> DESIGNATF,o TSDF' ❑ ALVI�O INDEPEND5NT OIL-5002 Archer St. -Alvieo, CA 95002 <br /> © BAYSIDE OIL 11,INC.-210 Encinal St. -Santa Cruz,CA 95060 <br /> 0 BC STOCKING-7300 Chevron Way-Dixon. CA 95820 <br /> (.� paME;NOMERDOON- 2000 N.Alameda St.-Compton, CA 90222 <br /> ❑ OCS -I 3256 N. Marks St: •Fresno, CA 93722 <br /> RAMOS ENVIRONMENTAL• 151$ S.River Road-W. Sacramento,CA 95891 <br /> This Is to certify that the above named articles aro propefly classified, descn'head, padwr <br /> marked and labeled,and are In proper condition for transponatlop;'aocording to the applicab <br /> regulations of the Department of Transportation. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE X J5 <br /> TOTAL HALIDES ARE LESS THAN 1000 P.f.M. i rVSTOMER SIGNATURE DATE <br /> I FURTHER AGREE TO ACCEPTTHEADDITIONAL <br /> (113440r�Fq FOA LrrnAr.1)ISPOSgL IF THIS WASTE --- r....._ <br />