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,*i „r rn^ II <br /> To: Fro"- DDS 40 Sat 21 Nov 1992 19:47:56 Page: 13 "./ r,i <br /> RC�1� <br /> POO SERVICE ORDER <br /> riQ. N 225435 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 21 00 <br /> NORTH tAMEDA STREET 11 COMPTON, CALIFORNIA 90222 ❑ 13101886-3400 <br /> SAN DIEGO Q FICE NORTHERN OFFICE <br /> 1-800-748-574 EPA NO.CAB028277036 1.80 q3-3 LOLZ <br /> BATE _ ONE TIME PICK UP Cl YES or 0 .NO <br /> CUSTOMER V II)��v4Z+(�f r( C RESIDENT O YES or © NO <br /> BILLING ADDf4E8S g �a C r r CONTRACT CUSTOMER ❑ Mor 0 NO <br /> (ION 11 151Y. <br /> PHONE CONTACT ' �* ACCOUNT NUMBER d <br /> CUSTOMER EPA(l�_ r D ��G? ..U_ AMOUNT(If any) I <br /> JOB SITE ADDRESS CHECK NUMBER I <br /> P.O, NUMBER <br /> CROSS STREET$ CASH RECEIVED <br /> (/MOUNT) <br /> NOTES: COMMODITY ,{ ! <br /> HALIDES 2 P.P.M. <br /> COMBUSTIBLE LIQUID, N.O.S. (USED OILS d MIXED OILS) ' } 2 <br /> NA 1993;PQ III <br /> ❑ ETHYLENE GLYCOL NON-RCRA <br /> HAZARDOUS WASTE LIQUID NO PLACAPD REQUIRED NEXT SERVICE DATE <br /> Q U,S.DOT DESCRIPTION: DRUMS <br /> MANIFEST NO. 1�J /I {", NO.OF GALLONS , <br /> r <br /> DRIVER TRUCK NO.B RT <br /> G '-`" <br /> DESIGNATED TSDF: <br /> ❑ ALVISO INDEPENDENT OIL - 5002 Archer St, Alviso, CA 95002 <br /> ❑ BAYSIIJE OIL 11, INC.- 210 Encinal S1.- Santa Cruz, CA 95060 <br /> © DeMENOXERD00N• 2000 N, Alameda St. -Campton, CA 90222 <br /> -Q DOCS- 268 N, Marks St.- Fresno, CA 93722 <br /> ❑ RAMO�ENVIRONMENTAL • 1615 S. River Road •W. Sacramento, CA 95691 <br /> This is to cerltfy that the above Teamed ardeies are property dassified,desenbsd, packaged <br /> marked and labeled,and are in proper condition for transportation,according to the applicable <br /> regulations of the Department of Transportation. <br /> EBY CEPMFY THAT I <br /> RWASTE WITH ANY OTHERS ASTE <br /> THIS AND THE <br /> TOTAL HALIDES ARE LESS THANMIXEDNOT <br /> E 000 P.P,M, CUSTOMER SIGNATURE AI) 1 f= <br /> I FURTHER AGREE TO ACCEPT tHE ADDITIONAL <br /> CHANGES FOR LEGAL DISPOSAL IF THIS WASTE ,,, <br />