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To: Froin. DDS d0 Sat 21 Nov 1992 :9:47:56 Page: 9 <br /> t - = SERVICE ORDER <br /> No� N 24L.1 <br /> ASBURY EWRONMENTAL SERMCES <br /> 2100 NORTH AI.AMEQA STREET o COMPTOW CALIFORNIA 90222 o (310)886-3400 <br /> SAN DIEGO 04110E NORTHERN OFFICE <br /> 1-800-748-67 4 FPA NO.CAM28277036 1-800-727-2879 <br /> 1;-800-933-9194 <br /> DATE f (� j^'`•'`'��f ONE TIME PICK UP 0 YES 0( 0< <br /> CUSTOMER UAP 12rn i! 4ei "! fir, RESIDENT CI YES or <br /> BILLING ADDRESS CONTRACT CUSTOMER S at O NO <br /> PHONI=(.1� _ CONTACT ACCOUNT NUMBER /Vw �l <br /> CUSTOMER EPA N 11 AMOUNT _ <br /> JOB SITE ADDRESS i�7 '� " h � f CHECK NUMBER <br /> 1 �s,1,- L1��� P.O,NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> a <br /> NOTES,• COMMODITY <br /> HAUDES <br /> !,,COMBUSTIBLE LIQUID,N.O.S.(U ED OIL$A MIXED OILS) <br /> NA 1993,PG III <br /> O ETHYLENE GLYCOL NON-RCRA <br /> HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED NEXT SERVICE DATE <br /> O U,S. DOT DESCRIPTION: DRUMS �y <br /> MANIFEST NO. ?..f' �� ,� -? J NO.OF GALLONS <br /> TRUCK NO,$RT _ <br /> DESIGNATFO TSDF: U ALVISOIINDEPEN1aENT OIL 5002 Archer St. -Alviso, CA 95002 <br /> ❑ SAYSID OIL It, INC. - 210 Encinal St. -Santa Cruz, CA 95060 <br /> ❑ BC STOCKING-7500 Chevron Way• Dixon, CA 95620 <br /> ❑ DeMENI�IOIKERDOON-2000 N,Alameda St, -Compton, CA 90222 <br /> ❑1"O' CS -3256 N, Marks St. -Fresno, CA 93722 <br /> r. a RAMOS ENVIRONMENTAL- 1515 S. River Road•W. Sacramento,CA 95691 <br /> This is to certify that the above named arttales are property classified,desc6bed, packaged, <br /> marked and tabel-,d,and are in proper condition for transportation,acwding to lho applicable <br /> regulations of tho Department of Transportation. <br /> I,HEREBY CERTIFY THAT I HAVE I OT MIXEDI � ; <br /> THIS WASTE WITH ANY OTHER VA ASTE,ANIS THE <br /> TOTAL HALIDES ARE LESS THAN'I1000 P.P.M. CUSTOMER SIGNAttlRE DATE <br /> M r <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE <br />