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u <br /> FOR SERVICE CALL: SERVICE ORDER <br /> PAatIF: Ft ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO. WOES004- D ( 1 /17 ) <br /> 5,4v4 4y8_ 0;140 SERVICE ORDER NO, <br /> Ofh At'.0-00N'IINt ) CAI I <br /> 0 <br /> WORLD OIL <br /> ENVIRONMENTAL SERVICES. <br /> i t I t 14287 EAST MANNING AVE, PARLIER CA 93648 <br /> t 1 -589 -498-0240 <br /> I WWW,WORLDOILCORP.COM <br /> t , <br /> tr <br /> TRANSPORTER EPA 9 CAD028277036 <br /> CUSTOMER M PURCHASE ORDER k ROUTE M TRUCK M CONTACT NAME ORDER TAKEN BY HALIDES <br /> t <br /> RAI E REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA M BILL of LADING/MANIFEST q <br /> n <br /> PART 0 DESCRIPTION QTY UNIT PRICE QTY P/U TOTAL <br /> TOTAL <br /> CASH RECD:_ _ _ __ CHECK x__. -___ <br /> WASTE DISPOSAL INFORMATION <br /> NO.N-RCRA HAZARDOUS WASTE, LIQUID ( USED OIUMIXED OILS) STATE CODE 221 <br /> NON•RCRA HAZARDOUS WASTE. LIQUID ( ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br /> OTHER: _ <br /> DESIGNATED TSDF: --.__ - — - <br /> ALTERNATE TSDF: -- - - - - <br /> 1AAS Pr13:-- ___- EMPTY DRUMS: FACILITY:_ - BSC <br /> GENERATOR WASTE CERTIFICATION ( PLEASE CHECK THE APPROPRIATE BOX) <br /> Waste oil generator/customer MUST check ONE of the following three boxes) <br /> -� . . , wrth a++y ultua hta�� rsste, [tu. r:eC2 htavle ccsumtuLcSSthsaiti,(iO Frm. arA dsr nests dans curt ccn,�. ry F �E�, . - -. -_ �. _., . .,' . —r , �:.,_ . . _ <br /> Bo dtmemW.e Brsehw layrr. [ax:r�l thr rl@Lm,Y cYe�cres f,a the <br /> aRl�'1ti M0la1+R! 'th WAS, Nrdr 1 .igC, <br /> tCESQ�i i9[uoes 3u it4 Ec t � my "� �`$ - <br /> O� to a icg;o r`* Al_ -�. , . <br /> I <br /> i <br /> I <br />