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r-oR s>aRvlc� CALL: <br />UIXON OFFICE <br />1-500-727-2079 <br />FOR ACCOUFlI PING CALL: <br />562-23i-1550 <br />PEP BOYS f#g711 <br />4987 UVEST LANE <br />T STOGKTON, CA 9521q <br />° (209) 952-1222 <br />SERVICE ORDER <br />ASf311RY ENVIRONMENTAL SERVICES, C2BA <br />7300 CHEVRON WAY, DIXON CA 95620 <br />1-R o-,�? ��7� <br />LDOILGQH�OM <br />TRAN�S�POWRTER EPA# CAD028277036 <br />FORM NO, WOES004-6 (4/17) <br />SERVICE ORDER NO. <br />N267g374 <br />THE EC GROUP <br />201 E. ORCHARD S7 <br />HAMMONTON, NJ 08837 <br />(8gq)�34.9794 <br />CUSTOMER# <br />PURCHASE ORDER# <br />ROUTE# <br />TRUCK# - <br />� CONTACT NAME <br />ORDER TAKEN BY <br />HALIDES <br />F'BP359 <br />ER -88 <br />� q <br />EC GROUP <br />Quintana <br />DATE REQUIRED <br />DATE ENTERED <br />NEX75ERVICE DATE <br />� CUSTOMER EPA# <br />RILL of LADING{MANIFEST# <br />9/11/2818 <br />CAD9816B2844 <br />PART#_ <br />DESCRIPTION <br />QTY <br />UNITPRICE <br />OTYp/U <br />TOTAL <br />OF <br />OFDR <br />BATCH <br />Effeetfve 71/2018: <br />CASH RECD: <br />USED METAL OIL AND GASOL{NE FILTERS <br />OIL. FfLTER DRUM REPLACEMENT- NO CHARGE <br />Service orders with assoclatad hazvrasta manifests (site spadfic/consall <br />nd.adfulnlslTxiian.uf-the-aMani%stpmgram�Eees.uary.frarn$d=.SiB-based <br />CHECK# <br />1 <br />1 <br />tad) are subJ <br />anlfestb{ <br />to en EPA Fea, <br />plicablaSee <br />(' <br />F frpp�ver <br />�g� <br />9 � / /� <br />EPA pass- <br />uclaval <br />WAS'iE DISPOSAL INFORMATION <br />NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIUMIXEDOILS) - � STATE CODE 221 <br />NODI-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) � STATE CODE_. <br />OTHER: NdN-F{GRA kWZ,gRgpys.� WA&T@.-SQN&i�IkTE-R&-GONTA4NINC-0{I s«nrc�n�gg �on� <br />DEStGNATEDTSDF: Y LftilA Yom`; LI C�,.,27';fl E_1 STH ST YUMA,_A7 8F;z6� 92A•K64-2@SL'+ <br />ALTERNATETSDF: <br />_, <br />-Gre55�t{eet�_ a^�^uqk Manager�oddAudt <br />DRUMSP/U: t � FMPTYDRUMS:__ FACILITY: RSC ' <br />GENERATOR WASTE CERTIFICATION (PLEASE CHECKTHE APPROPRIATE BOX) <br />yy signing below I herebycertify that: <br />(Waste oiI generator/customer MUST check ONE of the following three boxes) <br />odl) I have not mixed any of thewute described above with any ether hazardous waste, the total halide cnntentisLE55 than t,oy0 ppm,and the waste does no[ contain any PCDs.I have complied with the requirements of <br />the appOcable Calirornia used oil management regularions to determine this Iz ltue.I agree to accept the adJltional charges farthe disposal ofthis warte if the information I have prnvidedabout thiswazre Is incorrect <br />�d21 have noe mrted anyvfthewarte Jescrlbed abovewith anyother hazardous waste, the tocol halide wntent Is GREATER than l,00gppm, and Ihewaste does not contain arty PCys.l <br />have provided properdowmeniation to World OII Environmenmi Servlws to rebut the presumptlon that this waste waz mixed wUh other hazardnuswaste. i agree to accept the addltfonal charges for rhedlsposai ofthis <br />waste Iflheinlmma[ion (have Vrovided about this waste is incorrect <br />Oa3 Thls waste izframalankwhich collects waste ollTmmhousehold Ao�it-ourselP(DIY)anJ/or conditlonall Ismail Ht yknowled theonl .., : /s�i�/t! <br />I y yexemp quart ygenerator lCESD6}sovrces.To the best o(m ge, ywaste oil cnntzined`;�,.;. <br />nmyDlY/CESQGcollectiontankissoleyhomDlYand/orCES06sources.lhavenotmixedNiswasteoilwl�hanyotherhazardouswasleorwarteollfmmothersources.lagreetoaccepttheaddhional�hargesfordlsposaf' _ <br />of this waste if Ihelnformation 1 have 0rovideJ about thiswaste is IncorreR <br />�� � (All generators/ customers MUST read the following text and check the associated box.) <br />G�Sd.411fiamalar9e yumrtity9eneratoG lcertify lhatl have aprogrzmL place fo redu<ethe volmne and toxitlty ofwaste generated to thedegreel have determined to beeconomically praclirable and thatl have <br />� Ipcted the pmnicablemerhoJ of treatment, stomge, or dizposalcurrenlly available to me which minimizes thepresentand folate threat tohuman life and the envtronmenl; OC lflamatmall gvanHry genemtocl <br />have made a good f ith effort to minimize my waste generation and select the bestvraste management method that Is available [o me that I cart alfoN. <br />ibis lndlWJrml signing in the space set forth below vn behalfof Custmnerrepresenls and waran[s [bathe/shehns the authority tobind Crutomer,thM the foryving desdplloru of waste and materials are trveand ac<urare - <br />as pacP.ayed, marked and labeled, are ready For transportallon in accordance with appllrable state andfedeml reyulayons, and that Customershailabide at}d be hound by the StandaN Terms and Conditions on the reverse <br />side of this Service Order. <br />�SI� ���..� o `�/L�/-�� <br />Qts mer Signat Date <br />Print Na n <br />Driver <br />Print Drivers Name <br />