Laserfiche WebLink
FOR SERVICE CALL: <br />PARLIER <br />559-498-0240 WO <br />FOR ACCOUNTING CALL: WODIY <br />562-231-1550 <br />AF <br />PEP BOYS #10711 <br />4957 WEST LANE <br />STOCKTON,CA 95210 <br />(209) 952-1222 <br />SERVICE ORDER <br />ASBURY ENVIRONMENTAL SERVICES, DBA <br />0 <br />VE ,PARLIER CA 93648 <br />287 EAST MANNING AVE, PARLIER CA 9364 <br />1-559-498-0240 <br />W Ww. WORLDOILCORP.COM <br />TRANSPORTER EPA # CAD028277036 <br />1 s -A <br />FORM NO. WDES004-D (1/17) <br />SERVICE ORDER N0. <br />N2381739 <br />THE EC GROUP <br />201 E, ORCHARD ST <br />HAMMONTON, NJ 08037 <br />(800) 334-3794 <br />CUSTOMER# <br />PURCHASE ORDER# <br />ROUTE# <br />1A InUCK# <br />CONTACTNAME <br />ORDERTAKENBI' <br />HALIDES <br />PEP359 <br />124 <br />© <br />CHEDULED-1 <br />DATE REQUIRED <br />DATE ENTERED <br />NEXT SERVICE DATE <br />CUSTOMER EPAJI <br />BILL of LADING/MANIFEST If <br />5/212017 <br />5/2/2017 <br />CAD981882844 <br />PART# <br />DESCRIPTION <br />QTY <br />UNIT PRICE <br />QTYP7U <br />TOTAL <br />WO <br />WOSC <br />BATCHaK <br />C <br />USED OIL /.MIXED OILS <br />USED OIL SERVICE CHARGE <br />SGC8t5; <br />1 <br />- <br />TOTAL <br />CASH.REC'D: :CHECK # <br />- <br />WASTE DISPOSAL <br />X. NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) <br />NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) <br />.OTHER: " <br />INFORMATION <br />STATE CODE 221 - <br />STATE CODE' - <br />:. ...:. ..:.. <br />DESIGNATED TSDF:_ _ASBURY-ENV RONMENTAL-S VIGESvG€R;=S,—r.*�a <br />ALTERNATETSDF: <br />i#61tBAN-fiB-.; C <br />�� IiNLB9839�889.;. <br />DRUMSP/U: EMPTY DRUMS: FACILITY: <br />8SC - <br />GENERATOR WASTE CERTIFICATION (PLEASE CHECKTHE APPROPRIATE BOX) <br />By signing below I hereby certify Ihat not any of the <br />(Waste ollgenerator/customer MUST check ONE of the following three boxes) <br />)shave le California <br />used oil mtage entregulations <br />dab Ih ymheethis dors waste,eto accept the additional <br />charges far the disposal <br />this waste <br />eInountainanyave provided <br />is waste q 1 meets of <br />inapplicable Cal Fomia used oil management regal ti determine this is true. /agree to a<cepttheadtllonal<haryes(or lhedtsposai o/Ihswasie iFthein(ormation ihaveprowdedaboutthiswaste B incorrect <br />-3421 have not mixed y of the waste described above with y other hazardous h total halide content Is GREATEk than 1,00 ppm and the waste does not contain ktirs. I j <br />hove provided pdocumentation to World Oil Environmental services t rebut lh presumption that this waste was mixed with other hazardous I agree to accept the ddc n I charges for the dl p I fthi <br />waste if the information have provided shout this waste ! Incorrect <br />.. <br />::)#3)This waste isfor a tank which collects waste oil from household doh%yourself (DW) andfor conditionally exempt small quantity generator KBOG) sources To the best of my knowledge, the onlywaste oil contained <br />In my DIY/CESOG collection tank. Is coley from DIY and/or CESOG sourcesI have not mixed this waste oil with any other hazardous waste or waste oil from other sources l agree to acceptme additional charge,s for dsposai <br />of this waste if the information i have provided aboutthls waste is incorrect <br />(All generators/ customers MUST read the following text and check the associated box.) <br />w) If l oma large quant ty generator i certify that) have a program n place to reduce the volume and toxicity of waste generated to the degree i have determined to be economically practicable and that i have <br />S <br />lected the practicable method of treatmenhstorage, or disposal currently available tome which minim the present and future threat to hums lif nd the environment; Or if lamasmaliquantity 9enerztor,l <br />ha= made a good faith effortio mninfze mywaste generation and select the best waste management method that is available to me that l an afford.- <br />This Individupl signing in the space set forth below on behalf of Customer represents and warrants that he/she has the authodty to bind Customer, that the forgoing descriptions of waste and materials are true and accurate <br />as packaged, marked and labeled, are ready for transportation In accordance with applicable sore and federal regulations, and that Customershall abide and be bound by the Sondaid Teens and Conditions on the reverse <br />side of this Service Order./'% ...._— <br />Customer g aq tare Date LDriver nat��,�, Date - <br />Print NarnP r/�Ilf�`,'r� `� r�Dr1V 5 <br />