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FOR SERVICE CALL: <br />PARLIER <br />559-498-0240 <br />FOR ACCOUNTING CALL: <br />562-231-1550 <br />PEP BOYS #0711 <br />4987 WEST LANE <br />srOCKTaIv,cA 95210 <br />(209) 952-1222 <br />SERVICE ORDER <br />ASBURY ENVIRONMENTAL_ SERVICES, DBA <br />' <br />VVqJKLLP UHL <br />NNVIRONMENTAL SERVICEST,. <br />7 4287 EAST MANNING AVE, PARLIER CA 93648 <br />1-559-498-0240 <br />W W W.WORLDOILCORP.COM <br />TRANSPORTER EPA # CAD028277036 <br />FORM NO. WOES004-D (1/17) <br />SERVICE ORDER NO. <br />N2697965 <br />THE Ec GROUP <br />201 E. ORCHARD ST <br />HAMMONTONr NJ 0$037 <br />)334o3794 <br />CUSTOMER# <br />PURCHASE ORDER# <br />ROUTE# <br />TRUCK Ii <br />CONTACTPIANIE <br />ORDER TAKEN BY <br />HALIDES <br />U/ <br />TRICK -S T <br />DATE REQUIRED <br />DATE ENTERED <br />NEXT SERVICE DATE <br />CUSTOMEREPAIt <br />BILL of LADING/MANIFESTIf <br />PART It <br />DESCRIPTIONQTY <br />UNITPRICE <br />QTYP/U <br />TOTAL <br />OF <br />Li <br />OFDR <br />OIL FILTER DRUM REPLACEMENT - NO CHARGE <br />1 <br />r <br />BATCH <br />Effective 7 <br />12018: Service orders with associated haz waste manifests (site specffie/consolid <br />ed) are subjecri <br />to an EPA Foe, <br />Fnas cover <br />EPA Pass- <br />throughfin <br />and administration of the aManifest program. Fees vary tram $4- $10 based on I <br />anifest type, Applicable <br />fees Will <br />� T��r on <br />our Invoice. <br />E <br />CASHREC'D; CHECK# <br />WASTE DISPOSAL INFORMATION <br />NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE 221 <br />NON-RCRA�UU�/AFSI t�IF31F1'ES�T�S�!%i�NING OIL) STATE CODE 223 STATE CODE <br />OTHER: n tre�yre I Ir• ,�7nn e aero er vl l onn n -r 66384;-A.26-804_2892 <br />DESIGNATED TSOF: <br />AC:IfflTa2YeeF' .unt-Managar'-i'odtiAedt <br />DRUMS P/U9_ EMPTY DRUMS: FACILITY. --BSC <br />GENERATOR WASTE CERTIFICATION (PLEASE CHECKTHE APPROPRIATE BOX) <br />Ry signing below 1 hereby certify that: <br />(Waste oil generator/customer MUST check ONE of the following three boxes) <br />O91)1 have not mixed any of the waste described above with any other hazardous waste, the total halide content Is LESS than IAOU ppm, and the waste does not contain any PBs.i have Camplied with the requirements of <br />the applicable California used oil management regulations to determine this Is true, I agree to accept the additional charges for the disposal of this waste If the Information t have provided about thiswasteu incorrect <br />G7d3[have not mixed any of the waste described above with any other hazardous waste, the total halide mntmttts GREATER than t,000ppm, and the waste does not contain any PCBs.I <br />have provided pruperdocmnentalion to World Oil Envirwsmental Services to rebut the presumption that this waste was mixed with other hazardous waste.) agree to accept the additional charges for the disposal of <br />this <br />waste if the infornutton 1 have provided about thiswaste Is Incanect <br />C7k3jThfs waste Is from aiank which collects waste oil from household "dollyourself "(DIY) anchor conditionally exempt small quantity generator(CESt7G) sources.To the hector my knowledge, the only wasteoil contained <br />In my LAW CESQG collection unit Is coley from off and/or (=QGsources, lhave not mixed this waste oil with any other hazardous waste or waste nil from other sources. f agree to accept the additional Charges for disposal <br />of This waste If theinformation I have provided shout thiswaste Is incorrect <br />(AlI generators/ customers MUST read the following text and checkthe associated box.) <br />A4) III am large quantity generator, I certify that I have a prouam In 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 />leered the practicable method of treatment, storage, or disposal Currently available to me which minimizes the present and future threat to human life and the environment; Or, if I am a small quantity generator, I <br />have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me that l can around. <br />This Individual signing in the space set iwth below on behalfofCUstomer represents and warrants that he/she has the authority to bind Customer, that the forgoing descriptions ofwasteantl materials are true and accurate <br />as packaged, marked and labeled, are ready for transportation in accordance with applicable state and federal regulations, anA that customer shall abide and he bound by the 52ndardTerms and Conditions on the reverse <br />side of this Service <br />order. <br />Cost m r i9A���re Date - 1 na44 tare Date <br />rPrint Name ` rint Drivers Name <br />