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FOR SERVICE CALL.: SERVCE ORDER <br /> DIXON OFFICE A BURY ENVIRONMENTAL SERVICES, DBA <br /> I-19M72?-2$79 <br /> FOR ACCOUNTING CALL <br /> 231-1550 <br /> ENVIRONMENTAL SEIRVICES•. <br /> s <br /> JIFFY 0 '. <br /> k L {LT[L1-NIA I I RF. 41+WY11.WORLUOILCORP-CONI 14"1 <br /> TRANSPORTER EFTA 0 CA0028277036 <br /> T i_I�L,I C.4 P-A , <br /> CUSTOMER # PURCHASE ORDER ROUTE TRUCK CONTACT NAME ORDE <br /> DATE AEQUAED DATE ENTERED N€" SERVICE DATE CUSTOMER EPA# A <br /> PART * DESCRIPTION -ITQ7Y UNPl <br /> H RE:C'D: CHECK # <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE, LIQUID (USED 01LIMIXEDOILS) STATE <br /> NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYL-ENE GLYCOL SOLUTIONS) STATE <br /> OTMER: -- � .ori ;#4 fr ._rtne — -• - -- -.rFi+r� <br /> DESIGNATED TSDF: i�1�1�EPh1'l � <br /> ALTERNATE TSDF: <br /> ' - ,1c• + 1 <br /> DRUMS P}Ll:. / EMPTY DRUMS: FACILITY; BSC_ <br /> GENERATOR WASTE CERTIFICATION (PLEASE CHECK THE APPROPF <br /> 8y*Ignrnq Grlaw 19inraby Darr ry Mal- <br /> (Waste oil generatorlcustomer MU ST check ONE of the IoIIowing thi <br /> aF1 I P111-VIN Mol rnlxeU any of the mom dobul160 above w u,"Odhor h740lr"LI■vriae0.II14 WUO 1LAUCW tOtLWhi to l."5 thati 1:000 ppm.and mo Irn <br /> eomplWd w hh IIM req„uernartim of ins■por-palr CaNFornls LJOd W1 I►LILIlaGft?wm1 m9krlydlpns 0 d0amilt*Thm Is I um.I prime 10 lI CW I"wWinrimt e <br /> Ihs.Irjmrm&IH."I hove pr4V1daC atio 1 I4rL wamin Iw Occam, <br /> 0 $21 tWN&nol m1 rso.11 ny of I ha W021tn d**Cttp,pd 11bpwe*im 4Iny ViKer rLIBIWaout WdYIk-Uic taLd'hnUne LL7171en1 Is GREATER R Mark 1,000 pprn-mm tm <br /> "we p widkid MW d#, %j 1lh1JLL10rL UO Wilrl6 011�11wilatkmanW Sprvli_ift Ip Fonut IILa prUiump4191)thsl Ih14 wo4to rl*rnimed wllh aMm hamidaus WA <br /> YIM daeposel pl lhlf Wntiap 71 the Yhtkr me lan I hove prawWotp■WLct IiLI a.rm&La is AfwuR"cI <br /> 4 <br />