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To: From' DDS 40 Sat 21 Nov 1992 19:47:56 Page: 8 <br /> k = SERVICE ORDER <br /> NO. N 250800 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTW MEDA STREET ❑ COMPTON, CALIFORNIA 90222 u (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN OFFICE <br /> 1.-800-748- 44 EPA NO.CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE E� ONE TIME PICK UP ❑ YES or <br /> CUSTOMER I-0 r, C"i C 12W 17" sr' RESIDENT © YE3 or 01NO <br /> r <br /> BILLING ADDRESS CONTRACT CUS'T'OMER 7'"`S or ❑ NO <br /> PHONE f 7` CONTACT ACCOUNT NUMBER <br /> CUSTOMER EPA N AMOUNT <br /> JOB SITE ADDRESS 'F `i t CHECK NUMBER <br /> P.O.!NUMBER <br /> CROSS STREETS ... CASH RECEIVED <br /> .Wm.. (AMOUNTI <br /> NOTES: COMMODITY <br /> HALIDES _. P.P.M. <br /> COMBUSTIBLE LIQUID, N.O.S. (U Eta OILS&MIXED OILS) <br /> NA 1993,PG III <br /> ❑ ETHYLENE GLYCOL NON-RCRA <br /> HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED NEXT SERVICE DATE <br /> ❑ U.S.DOT DESCRIPTION: ___ DRUMS _. <br /> MANIFEST NO. 1!r ! :° - NO. OF GALLONS 1�S <br /> DRIVER ,., r.. ._ - TRUCK NO,&RT <br /> DESIGNATED TSDF: U ALVISd INDEPENDENT OIL• 5002 Archer St. -Alvisa, CA 98002 <br /> ❑ BAYS14E OIL 11,INC.- 210 Encinai St.- Santa Cruz, CA 95060 <br /> ❑ BC STqCKING-7300 Chevron Way• Dixon, CA 95620 <br /> ❑ DoMENNO/KERDOON-2000 N, Alameda St. -Compton, CA 90222 <br /> ❑ •OGS- J256 N,Marks St. - Fresno, CA 93722 <br /> RAMO§ENVIRONMENTAL • 151 to S. River Road•W. Sacramento,CA 95691 <br /> This is to certify that the above named articles are properly classified,described,packaged, <br /> marked and tabeled,and ane in proper condition for transportation,according to the applicablo <br /> regulations of the Departfbent of Transportation. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THIS WASTE WITH ANY OTHER VYASTE,AND THE j,441f C, :14 )- <br /> U ME S�£�� DAtE <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> I FURTHER AGREE TO ACCEPT T�iE ADDITIONAL <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTEX <br />