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ASBURTENVIRONMENTAL SERVICES, DBA FORM NO.WOES002-D (1117) <br /> FOR SERVCCE CALL: <br /> PARLIER SERVICE ORDER <br /> 559-498-0240 <br /> FOR ACCOUNTING CALL: N O• <br /> 562-231-1550 WORLD OIL <br /> ENVIRONMENTAL SERVICES <br /> 14287 EAST MANNING AVE ❑ PARLIER,CALIFORNIA 93648 ❑ (559)49S-0240' <br /> EPA#CAD029277036 <br /> DATE CUSTOMERNUMBER <br /> CUSTOMER '` i g' AMOUNT <br /> PHONE ` CONTACT'. CHECK NUMBER €, <br /> CUSTOMER EPA# Y } - P.O.NUMBER <br /> JOB SITE ADDRESS - CASH.RECEIVED <br /> (AMOUNT) <br /> €a = COMMODITY <br /> CROSS STREETS HALIDES P.P.M. <br /> NOTES: <br /> 171 NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> Ll NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. ," NO.OF GALLONS ' <br /> DRIVER TRUCK NO.&RT -7,- <br /> LJ <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ BIG SKY ENTERPRISES, 401 West Channel Rd.,Benicia,CA 94510 CAL 000301639 1-510-541'-2128 Do <br /> ❑ GLOBAL MATERIAL MANAGEMENT, 1640 N.Broadway Ave.,Stockton,CA 95205 CAL 000417316 1-818-770-2577 <br /> ❑ SA RECYCLING, 33210 Western Avenue,Union City,CA 94587 1-510-487-9277 <br /> ❑ YUMA YES LLC, 2730 E.13th Street,Yuma;AZ 85365 AZR000515924 1-928-643-8938 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO 11,LLC• 1618 W.5th St',Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA•200 Dinsmore Dr., Fortuna,CA 95540•CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln:•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON•7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-6008 -' <br /> © DEMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100_"',_.,,E <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> q WORLD OIL-SAN JOAWIN LLC•-1,4Z87 E.,Maphing Ave •Pa"[ier,CA 93648•CAL0001G2751 -(559)498-0240 <br /> D ALTERNATE FACILITY:; f :.. s <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled,and are in proper condition for transportation,according to the applicabte regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X- <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES,.OR <br /> CONTAINS ANY P.C.B'S. PRINT NAME <br />