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ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO.WOES002-B (5/18) <br /> FOR SERVICE CALL: <br /> DIXON SERVICE ORDER <br /> 1-800-727-2879 <br /> FOR ACCOUNTING CALL: A l O p o a n <br /> L <br /> 562-231-1550 WORLD OIL , No. N v <br /> 7300 CHEVRON WAY DIXON,CALIFORNIA 95620 (800)727-2879 <br /> EPA#CAD028277036 <br /> Date Customer# <br /> Customer EPA If _ <br /> Address Commodity <br /> City State Zip Halides PPM <br /> Phone Contact Amount <br /> Cash ❑ Check# <br /> Notes: <br /> Waste Disposal Information <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 2M <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> ❑ NON-RCRA HAZARDOUS WASTE,SOLID(FILTERS CONTAINING OIL)STATE CODE 223 <br /> ❑ NON-RCRA HAZARDOUS WASTE, LIQUID(OILY WATER)STATE CODE 135 <br /> ❑ OTHER <br /> MANIFEST# <br /> NEXT SVC DATE DRUM SIZE QUANTITY TRUCK NUMBER <br /> DESIGNATED TSDF: <br /> ❑ WORLD OIL RECYCLING'2000 N.ALAMEDA STREET'COMPTON,CA 90222'CAT080013352-(310)537-7100 <br /> ❑ WORLD OIL ENVIROMENTAL SERVICES'2549 SCOTT AVENUE'CHICO,CA 95928'CAL000827844-(800)733-9043 <br /> O WORLD OIL ENVIROMENTAL SERVICES-CHICO II, LLC' 1618 W.5TH STREET'CHICO,CA 95928CAD980694103-(800)733-9043 <br /> ❑ WORLD OIL ENVIROMENTAL SERVICES-FORTUNA'200 DINSMORE DRIVE'FORTUNA,CA 95540'CAL930256136-(800)733-9043 <br /> ❑ WORLD OIL ENVIROMENTAL SERVICES'7300 CHEVRON WAY'DIXON,CA 95620'CAT080012602-(707)693-6008 <br /> ❑ YUMA YES LLC'2730 E. 13TH STREET,YUMA,AZ 85365'AZR000515924-(928)643-8938 <br /> ❑ RAMOS ENVIROMENTAL' 1515 S.RIVER ROAD'W.SACRAMENTO,CA 95691 'CAD044003556-(916)371-5747 <br /> 0 WORLD OIL ENVIROMENTAL SERVICES' 1920 MORGAN RD,STE AES'CERES,CA 95358'CAL000393680-(209)541-1825 <br /> ❑ BAKERSFIELD TRANSFER INC. ' 1620 BRUNDAGE LANE' BAKERSFIELD,CA 93307'CAL000282598-(661)377-0308 <br /> ❑ WORLD OIL-SAN JOAQUIN,LLC' 14287 E.MANNING AVE'PARLIER,CA 93648'CAL000102751 '(559)498-0240 <br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE BOX) <br /> er a'a""0.I naebY rnray that: <br /> (Waste oil generator/customer MUST check ONE of the following three boxes) <br /> Fall l lave rot mlrm Brty a11M waste EaavltaE On tM1e servlet aw notetl aWve vitt,am alw I,azztlous w051e.Ihe rola.wi0e content is LE55 than t.CW yom,aM me wvm tlaes wl[Dolan err ECIb.I h¢Ye comollN wlln IMhepuYananla <br /> a de leatia ale callhane uY0 al man09dnM1 heITh ford to tlelMnl,b the N we I area to accept the aOOnlIXpl cha id,to the dal%WI Of the,anhoo II the nomination I nave puNlwl anon dna whale IS Irchool <br /> 1❑1211ave rot mlldal vry d Ve wab tla'ykaC a11M servrs atls Metl aWw x1111 ary afar latvdoua wmte.Ine total IWitle wntent s 91iFAiFA tWn I.IMq PWn.aM Idle weeleOtta ml[nota,vry PCds.I have pnaYlde'1 PtaOo OofumaNallon <br /> b IM1btM I)Y EnYMnmottlal$oYll`m IO tpHll Ma INaellmpllOn 111a1 tn19 whale whq m1[ey wI1M1 dllb M1R3NWa waste.I aq,0e 10 dccepi iM1¢ddtlI11M01 cM1BRJP_91o!Ine tllagsel¢I Iola WBei¢II iM mlMtlldtKKl I aaVe plOVld¢a aoallins W0916 p ItY911M1. <br /> (❑e,ra wuaIs Iran a—aadand cdleclawme dl Imm houl:dlatl'tlr a del un)atWa wnddhonally edende amyl quantity generator ICE50G1 wuntee To the Cat of my koYWlMpe.the my wale Of tiMaltll In my OIYICESOC <br /> cooked.led,a ideal land 01romsoe aO1M1R.I Than MI mned thu wale ed wIM vry.heifOgaa Waale or wadeoil horn OMer sourcee.I addle to accopt(he additional cto,da he a6[Vaa1 Of the orad,If Ite 11. alWI one, VMkV1 aEtYl <br /> Ime wgle..I. <br /> (All generators/customers MUST read the following text) <br /> t cerro,Incl I O.Os a drodram in place to all me vvlwle aM an"at wpte delareletl to tare dadaee I have to de aconomlcaM paacllce0la anC that I lave Sebcted the pslkeEM metlW Of <br /> laatmed,donefe.or alaooSll cuddMtlr avellaae to Irl¢whet,mimmdee Ina Ia'eeent ana f,..thll Il human the and tab dronalmenl. <br /> Th.adlw.egad,.,me spate sd Orion tool an dehall W CYdome reOVanls and earnold drat hetatb llM"..d,,tp tharial(3itfit.,flood the foddtld EYOIIIIM Of waea and hObNb YO bYOIk KMYtl IXc,eded.dal and <br /> Ieaddi had maty for nenSpyWgn in aCfpNBnCB with epplkaa0 state am tedmd aJulatlona end that Cuefoma anal)ehltle and be Iwund ny hal sb,Gand Tang VIE COM lgne od tee Wase eab dale$IM1Iw QNY. <br /> Customer Signature Date r15river Signature Date <br /> Prim Name Print DnversName <br />