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FOR SERVICE CALL, SERVICE ORDER <br /> PARLIER ASBURY ENVIRONMENTAL SERVICES,DBA FORM NO.WOESC047D. /17) <br /> 559-498-0240 wo 1000 <br /> -- 5EI11/1E0ADER.Nd <br /> 7 <br /> FOR ACCOUNTING CALL, WO[)ly <br /> 562-231-1550 N2466317 • <br /> AF 400 <br /> W"'.00IRL <br /> ENVIRONMENTAL SERVICESTM <br /> S <br /> III TE-C--OF CALIFORNIA 14287 EASTMANNING AVE,PARLIER CA 93648 <br /> P 2054 r=LOUISE AVE 1-559-498-0240 <br /> 2050 E LOUISE AVE <br /> P WWW.WORLDOILCORPCOM <br /> E <br /> D LATHROP, CA 95330 <br /> TRANSPORTER EPA#CAD028277036 LATHROP,CA 95330 <br /> 6. 1209)85871411.0 (209)8584110 <br /> Tkutl( ORD <br /> TP RM V .CONTACT NAM E��TA W <br /> E <br /> SOS ER-86 BERRY mfelazquez <br /> 1b.0 <br /> DA ED -NEXT* <br /> IE IR- ' A TE D: 61MLADI0­ <br /> 0VIttbATf CUSTOMER EPA 9 <br /> 4-. <br /> 40 <br /> ;g/-31/2017 CAL000415460 <br /> . ............ <br /> LQN <br /> OF 1 USED METAL OIL AND GASOLINE FILTERS, 3- $55.00 $165.'00 <br /> QFDR i OIL FILTER.DRUM'REPLK GEM ENT.-NO CHARGE 3 $0.00 $U0 <br /> CELL 2W 4,2-6312 BATCH# <br /> Crop;s streets: <br /> L <br /> CASH RECD: CHECK# Account Manager.Steve'Gately <br /> ..................... .... ... ........ <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIUMIXED OILS) STATE CODE 221 <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br /> OTHER qT <br /> A Z 7� <br /> e�. <br /> DRUMS P/UC <br /> EMPTYPRUNI$ FACILITY-_ BSC_ . ...... <br /> ............ <br /> 16E:.N.E..R...ATOR-++.-W..+.ASTE CERTIFICATION(PLEASE CHECKTHE APPROPRIATE 9OX) <br /> By signing below I hereby certify that: <br /> (Waste oil generator/customer MUST checl(ONE of the following three+ <br /> CDR 1)1 have not rrdxcd any of the waste described above with any other hazardous waste,the total halide content Is LESS than 1,000 ppm,and the waste does not contain any PCBs.I have compiled with the requirements of <br /> the applicable California used oil management regulations to determine this Is tnie.I agree to accept the additional charges for the disposal of this waste If the inrormatlon I have provided about this waste Is Incorrect <br /> 0121 have not mixed any of the waste described above with any other hazardous waste,the total halide content Is GREATER than 1,600 ppm,and the waste does not contain any PCIX I <br /> have provided proper documentation to World Oil Environmental services to rebut the presumption that this waste was mixed with other hazardous waste.!agree to accept the additional charges for the dl"sat of this <br /> waste ir the information I have provided about this waste Is incorrect <br /> EPP?)T.yis waste Is from.a lank which collects waste oil from hq!4seh9Id1dq-lt-yoqrseIf'(PM and/or conditionally exempt mail quantity generator(CE�SOG)sou!ces.Tb.the.0est ofmyltylowled ,tt!e.oply waste oil cojt*d <br /> -tflu 04%it . p * ceiL gre 9.q. <br /> In".7(Xy!.-CrA Otto t"u,`0 0 <br /> .0-trom"w5pirw�rosiw 6d waste� hww <br /> of t►:sawaste'il?thoRtforiit�t3oe11 P-0 <br /> 0111 elver tars/Cusi�orne s -a k assoc box-j: <br /> KPEF re he folipwilng text....and ch:ep be lated <br /> Ad t. <br /> x4 0 i�m a 4*4407 to g <br /> 114 , **pp <br /> ft v?lume and ioxicity of WAM 41. hh" <br /> t 'ewhIth iriskr�iies the and Nfvii ftial to fiuff on Ilti ta are <br /> o*v� <br /> nIM wism that icatiaNcrit <br /> 06beo 00 ...Se P- liable to ir4. <br /> t'irm.dWW's"Inthe-space set forth&ilwon'bvhj�t4Cuitome 11,10�W limants-ftl heshe has the*awhWty to hind Custome;that the Iv trials ata trot and'accutate <br /> Vdnqdpscdptlons,*(was%eaod mat <br /> and that Custamer.-shall abldc and.he Wundfiythe S <br /> side of thit Service Order. <br /> C slomerIgni <br /> S* 'ature Driver E <br /> lint <br /> Date <br /> AGI 16 611—> <br /> Name Print'Drl—ms'�I`airne' <br />