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FOIA SERVICE CALL: SERVICE ORDER <br /> DIXON OFFICE ASBURY ENVIRONMENTAL SERVICES, DBA <br /> F" RM NO-FERVICE <br /> WOES$(8/18) <br /> 1-800-727=2879 ! rFOR AC <br /> COUNTING CALL:2- '-: ° WORLD OIL <br /> s <br /> ENVIRONMENTAL SERVICES, <br /> " TtM!A(s: l frtARlr+Ik RES►"h'� - �: `: ,%a�o�GNEVRON WAY.DIXON.CA 35620 <br /> P : sc�-72r za7s <br /> E WWW.WORLDOILCORP.COM .��w ILa rsr CGMmi'41TISRS. Il'& <br /> T <br /> T STC,"- TON. GA qt:" TRANSPORTER EPA#CAD028277036 PO bt?X S'"rj <br /> ri rx'! 464-2W I RV It*-. CA34-OM <br /> � .£m <br /> - <br /> a 1 <br /> CUSTO4i-F r <br /> PURCHASE ORDER# ROUTE# TRUCK# CONTACT NAME pRDER TAKEN:BY <br /> •• SJr,.ir1<tll� <br /> DATE FAMMED DATE ENTERED NEXT SERVICE DATE Ci3STOMER EPA# <br /> BILL ofVA <br /> PART'# -- '..y�.;_;�;•_« ��� � - <br /> DIrSCltPT70N <br /> ;E OTY KNIT faR1C1= #;1'1'Y AL <br /> t � :�r. ? T <br /> CASH RECD: _ _ CHECK# <br /> WASTE DISPOSAL INFORMATION <br /> NON#•RCRA HAxAPDOU8 WASTE.LIOUID(USED OI (MIXED OILS) <br /> HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS �z� <br /> OTHER _ __ ) STATE CdDE <br /> DESIGNATED TSDF: <br /> ALTERNATET -. k '.z t1�' j�iI G' <br /> Nil <br /> 4. <br /> DRUMS PN• EIYIPTY DRUMS:_ ----- ----- >' - - <br /> I"ACILITY —— --— gw <br /> GENERATOR WASTE CERTIFICATION (PLEASE CHECK THEAPPROPRIATE BOX) <br /> By +a b*w t hrteby rangy#N4 <br /> (Waste off generator/customer MUST check ONE of the following three br"&) <br /> Sr/i�!1W naf qM�d spy OI tEM weiiiM tlWKWd Moe a W"any nth- <br /> hezwdmm <br /> ;t u��rt 6A�tseneye�l�e�t► d0-mofte Wm do <br /> thls!�tnm t <br /> rM rp 000 p^OW the t�a�le Hort Ile!cowam <br /> +�CG�16R�(W�CIYH'Qwlotgltdtr �. .,- <br /> ho #71 haveael"I aw a#*roof*mu bad abous kith _is __ <br /> e�OM l0e dimpo el at powdoma—W k tlM 10 W-M OFI mWm" a"Srwloffaun n�6w t� ,el thli Fwaste wee mixed wltlr othfr froz�o,a warts.f aprns 1rc01PWh $*Iowa <br /> trMorelflrorr 1 hft-provided r to Ihle wpate is <br /> WrAxTect <br /> 1J Ov TIMI womb 4 hem a Wj*rMttril oaNr-to same a1 trom household <br /> 1�'OF" «aaww sb tno In gW aw CnW co*ocnw,tw*r.�D°y"aiar c�sac.a+�..WWor �°J1`n. „et mrx.mnpt Sm"�`�'�,,f+eft al CM"west,To t t>t1.c nrt�y <br /> roe dtepaa i of tars waste If the r,xon,,,n�,t have prurided about tare rarer h brcnrraut °"�'t>glor 7110 a4 <br /> ht>dlndoa�real.or <br /> 1r+�eleNlr.. (All generators/Customers MUST read the following text <br /> praeYc.blr MOW a.rrewx,.�,r. 'or mat.eye+no:ur+r a�w tox�rty a�..,o a�to the derv-1 rw.&tm",ra m w°co'r°atiofur prac .nlr ane et�e�t�tette wreMd ire F <br /> 1711a *00"cu m tly avalleble to me which minlu,izes the pierent and ruture thrart to human here and the eitwrarae»t, _ <br /> MkRM/IMI 1 1R IOre1 btlew en bat of <br /> +rb'walaslslf f1e aryl cuMmfr rapieas„1e�� and werrrrM tbM h&Ww has tahe *"ity a brrtd Cuetoatar tuft Mtf <br /> bM elM Qr""d Varum re�p(;bryp q fa aitla 1f ce OrdN. �in�otAanca wnh rppHeeble state 8nd 1adEral�rgeNallarM,atilt -NlNN <br /> AeOraAL TLfaa�fifr�l�alOtM walls me-do rt(speer aMe aPacfthc nr <br /> my basad on muff last type- �PPl�bte Isar ai11 appear ant your tNYMQ�rn �f/e. These tefs cover the EPA pan4hm gh hf m1 sisim"4*00= <br /> Date Ilyy Signature ~ <br /> f - <br /> r• . 1 <br />