Laserfiche WebLink
d FOR SERVICE CALL: SERV)CE ORDER <br /> DIXON OFFICE FORM NO WO&SO04-0 f8I18I <br /> 1-BOD-727-2879 ASBURY ENVIRONMENTAL SPRVIGES, QBA SERVICE ORDER NO, <br /> FOR ACCOUNTING CALL: <br /> 22,A"--2-31-1550 WORLD OIL <br /> ENVIRONMENTAL SEIRVICES,� <br /> s <br /> H7300 CHEVRON WAY,C1IXON.CA9562D <br /> I p �i;.I•� t �.If - 1-HU0 727•:7A7p _;I <br /> E !I `. .,, f! .-,i WWWWORLDOILCORP.COM e; <br /> p f ;FI!I.: .t!I.I.; ' TRANSPORTER EPA R CAD028277036 <br /> 0 <br /> CUSTOMER 0 PURCHASE ORDER A ROUTE w I TRUCK# CONTACT NAME ORDER TAKEN BY HALIDES <br /> DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA n BILL of LADINGI MANIFEST 1 <br /> PART a DESCRIPTION QTY UNIT PRICE QTY PIU TOTAL <br /> USED METAL OIL AND GASOLINE FILTERS 1 <br /> ?IL FILTER DRUM REPLACEMRNT•NO CHARGr= <br /> f <br /> TOTAL <br /> SH RECD: CHECK M <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXE0 OILS) STATE CODE 221 <br /> NON•RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE_ <br /> OTHER <br /> DESIGNATED TSDF:�yLylr ld 23L�sr lAeRrc.rll�RJ1.o1.I3LjW�CY - <br /> ALTERNATE TSDF: <br /> --__ -- <br /> =i 10 CIK DIXON_091 10"2EXPIRED .Mala//roarer Sam Rrd - <br /> DRUMS PIU: / EMPTY DRUMS-. FACILITY: BSC_ <br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE BOX) <br /> By IIgel ng below 1 Macy Lmltfy eh.1 <br /> (Waste oil generator/customer MUST check ONE of the following three boxes) <br /> L'all I hove not InlVed any of the weele deecrlb"Above wllh any other h"wou.mare,d+e+pl.l hplltla Cartler,l Ip LE5$Ihh�1.006 ppm.Fina lho weole dove ep1 Coolahr any PCBs.I have <br /> compiled whh the requlr t,hrNh t.of 1ho.ppli"Na CdHiornie..ad oh manapem.M requlel len.fe delerm In.thtg r.11aa,1 plea I.1K p1 tli.edeit.anFil ch.rq..fqr the dllipdaal of[Fria W.ese If i <br /> UI.Infemlellv+l I hove provided about Iris weelo I.1rK WlwLI III <br /> 11 IY 1 here Fief mired any of 1»e wa.1a tl.atTlbeq above wI1Fr anY rifler ruleefdede waole.Ire tela/M1elltle eenlenl Is QAf AMP;than 1.000 ppm,and 1ne.arch epos no[tenial-any PCB..1 1 <br /> have p+ 1ped groper ct.a btallgn yq Wort pll mall OnmMlal$arvlcpa Ip reh.1111e prclsul[pllpe[hill Hilo wade we!ma ed wtth Oil-hR.+duua e..11 I sWaa W eLCagl the edtlldonel t <br /> Lhatgee fol the clap..el Ihle woad.el tiro Inigr m.11oM1 rove pravldaa:heal Irla weafe to lnCeef.ed <br /> 0 N3j Thea weals ra From•lank which cobecta Hal.alt From hnuaehofd'do-Il-youreelf"i�lYi.-Nor eondglon nity.vampF.ms[I qu.nllly gennta+pr lC&]ri]Fiav taR ie IM bol pr my <br /> knpwladge,me eNy—to dl conlalnvd rn my DIY/CE500 Celleeben tank le a Iay from d1Y anNor CES06 ovurcae.I h.v."t mix"Ihll w.otv,*l wllh on, haexdoua erste or weals on PPP <br /> (rpm plhCe.tldtCel. corn W eCLapl Iry.ddllia+ul Lh.igsa Ie!tlllpelal OI this Wella i IM Inlefmallell I hate Pr4rlded nhoul!M1!o W aFtl+.enCgtNl <br /> (All generators/customers MUST read the following text <br /> 1 e..1rry Thal I Fiore a proprem In plate Fe[Mute[Fie volume arM fofllc lly of woe to geneenlcd to Ih.degrlq I love deMrrnirled lube eennomreelfy Otac11[.�e and/hal I new gplKl.d Ihp <br /> pe.elleaMe vylhod m I+aa*>aen*..nlrapa-er dleposei currently avepebin 1 me*Filen minlml...the preaenl end h+uue three[1,1,—Ilfe and Irw enrlrenmwALL, e <br /> rNla Indlvldu.l alpnlnp en 1I1a apeee eel leer melee on Wall e1...tomer rep+cern/.and woo—to Fred M1Wh.tug the eulho n+V fo bind cuTtpmer,[het[M1a lorgdnp Ue.ene>feone of vast. <br /> and moFer�ela sea Irk arM aaeruui!•=Pepk.god,marked,pnd Iameled,ere heady dor Fr-pn.panellon In eccvrGo*rca wllh applrr_ohr.e1a1v a+11 rads gl requlp/Dogs entl incl cuafoew aM1ell said. <br /> +M 6landertl Tonna ark?C9ne•ban. tna novareg old.of Ihlp S.avlu Qetler. <br /> IM hvrbh an arOpMyd ti nunll.al leltlur elle aPeclFlc W oan.nikleladl era oWllect to an EPA Fee TTxe ten­W Ira EP/p.ea-Inroupn Isis one.dltunlatraelen <br /> fes Chdeva rnallf fM.r a Nd en/Nordica/lyp.. Applkahla Fees vol.ppau On vaur N ling Invoke <br /> WMIJ.aI <br /> Cuetamar S uncture `' Date Driver Signature 009 <br /> t � r <br /> Print Name /Print DdVOr NOM <br />