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"DIS SERVICE CALL: SERVICE ORDER <br /> DIXON OFFICE ASBURY ENVIRONMENTAL SERVICES, DBA <br /> 1-8727-2875 <br /> r-OR ACCOUNTING CALL: � WORLD OILENVIRONMENTAL SERVICES,. <br /> 711) C.,"LvnON WAY MON, CA95620 <br /> 1 000-727,2137B <br /> VVWW.VelORLDOILCORP.COM <br /> TRANSPORTER EPA # CAD02827•7036 <br /> T <br /> CUSTOMER # PURCHASE ORDER it ROUTE # TRUCK # CONTACT NAME OFIDE <br /> DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUS7OMEA EPA� E <br /> PART a DESCHIP-'ION OTY UNIT PF <br /> GASH REO'D..— HECK #- _ <br /> WASTE DISPOSAL INFORMATION <br /> NON-1RCRA HAZARDOUS WASTIE. LIQUID (LASED OILIMIXED OILS) STATE <br /> NON-RCRA HAZARDOUS WASTE. LIQUID (ET:HYLENE GLYCOLSOLtMONS) STATE <br /> OTHER: ___ _ -.. _ _ _ .. .- --.4�..��._ -!ITA1F.EIM,G C71L I Sr_TE QC1EF ; _ <br /> DESIGNATED TSOF: _ if �L, 5--A INWSIRIAL 1W. CA. LIVftW ON, C& a"34, b <br /> ALTERNATE TSDF: —. <br /> (M% Strom, CJVW t OI}C i J I-If 1 14;,142 �I1 D , <br /> DRUMS PIU: f __ EMPTYDRUMS: FACILITY: @ O: <br /> GENERATOR WASTE CERTIFICATION PLEASE CHECK THE APPROPF <br /> py slgning balcm I harabq CumIfq Itta1 <br /> (Waste oil generatoricustomer MUST check ONE of the following th <br /> r. /1)I hire nal mored tlny of tha w$gIe doNCr1W yb Gy8 w+Ih nny wliar hsxardaus wNMta,Ilse 10LA1 NOW conIVOI I!LES$Man$-000 pfm,and tha way <br /> G�^�#IJed Wkth the raqulreM0nj*01 IIjs apgAY Ga#7IP Callfnmsa usoa V11 nraeagamanl regUIMIlon■to UHormkre MIS Is trud-I agrov I*acew Iha addltlpnal t <br /> thdr Inlpr Icon I have prvvlded obOLd thle hwasta la Inrorrem <br /> M rrty YmNte de464rtbed shave wrth ono 404NKt hoeardous waalrt the toter hoikie CanWl to GAEATEPI Man I,pp¢porn,oro ME <br /> 2 <br />