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0 <br /> FOR SERVICE CALL- SERVICE ORDER p FORM NO.MSO("(REV&115) <br /> DO=OFFICE <br /> 1-800-7-ASSURY SERVICE ORDER NO. <br /> FRESNO <br /> 559-496-0240 ;-12112618 <br /> CHICO OFFICE Ems <br /> -800-739-9043 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 SOUTH SANTA FE,COMPTON,CA 9=1 <br /> 14 4-- 4 If. Y EX!�>Rli 1-3104MM-3400 <br /> P TRANSPORTER EPA IIFCA0028277036 <br /> P i-.il IL,e i:MER C�R BOX 25159 <br /> E <br /> 0 1-AI i'T E: MANTECA CA V5--w <br /> T . IM <br /> 0 <br /> CUSTOMER# PURCHASE ORDER ROUTE81 MUCK—# --- CONTACTNAME ORDERTAMBY HALIDES <br /> j (..13i <br /> M ME—MWRED DAM ENTEREID NEXT SERVICE RIE,,• CUSTOMER EPA 9 MANIFESTf <br /> LAI <br /> PART 0 DESCRIPTION OTY UNqk!TCE OTY PAJ TOTAL <br /> S-fe,' 4f <br /> ,+4 <br /> TOTAL I <br /> CASH REVD:.— CHECK*_ <br /> WASTE DISPOSAL INF 71 <br /> NON-RCRA HAZARDOUS VMSTE,LIQUID(USED OILIMIXED OILS)'NO PLACARDS RECAAREIr STATE CODE 221 <br /> YCOL S6Ltj%ONS)-N <br /> NRA US N <br /> ON-RCNAMDOWASTF,LKKW WTHYLEE GL 0 PLACARDS REQUIREf" STATE CODE <br /> OTHER:* <br /> DESIGNATED TSDF: <br /> AL TE <br /> tj <br /> SA RECYCLING: 33210Westem Avenue,Union C4 CA 1-510-487-9277 <br /> 2_ <br /> PAJ: DRAS: FACILITY: BSCM==& <br /> DRLM — E111111PTY UJI <br /> GENERATOR WASTE CERTIFICATION <br /> PLEASE CHECK THE APPROPRIATE BOX <br /> 7his is lo ow"dud On weallm demmillmd dm"IS Weperly nwited and Jobeled,and to In praW candidw for VansporlaWm%a=wdhv to wOlcable State <br /> and lederal regulindow 6v WWdng below I Woo herelav cwft Out <br /> (Waste oil gemmtor/amtoow MUST died(ONE of the ftWmlng dwee boxes) <br /> 0 An)I how no atimed any of Be womb described @be"wM&W cihw hexer0cm wasm,do labd kellde Seats*Is U38 Ilmn 1.00 ppm wd the waste doss not 00"n OW MISS.6 he" <br /> complied vAth the re*drwvmft of do applicalds CaWarnla used ad sunsgernerd nVulaffam to dalwasir"Ode IS bus.I age"to&Gcw 010 gds"dmWo fro the dbp.M of ffft waw <br /> N Ow kd&madm I ham Wevided almad Oft weeft Is kwarod <br /> 0 AZIhave not railed any ofthe wade demallred ebww wNh aw adw hazardaus weelm,On ImAml halklm cordwd Is GREATER .m ppok and the vieste does not Contain aw PCBs.I <br /> hm provided proper dmunardellan to Ashury DrArcrummmad Services to fewd do premumpum dw this wmW was mbmd"m ad*hwardaus waM-I mWee to mccW the ademormil charges <br /> for the dispomal of 111"wombe N the kdwnmdm I how provided Shan We waste IS kawrect e -t. <br /> 103)This wasle Its 11runs a tam which callmle wom an from hmmhold*d*A-yeurser(DM NW-cmil"co-MY—Mlt snedl j"mW(CWCA)magrew To the beater may <br /> knowhm%W do a*wwo all cantelned In my lXYl COW calliecillon task Is saley km MY mWor CMW smrcm I hm'G 110 achedINS wil2f ON w"ll MY 0"w hazardous wuNre Or <br /> wn"an ham Saw Sources.I qpw to accept the addNhmW charges for dispeam at we Sinew it on hirermsuan i ham prow VAN I.Ifficooloot <br /> (AM Full 5/mIstomells NLW read the following text=W <br /> 9 1 an aWo quo"gwm*w.I car"so I bana progroms in ph"to reduce on walumur mul tualcilly pf wmw gmuwdw to the <br /> Apl*cdcable mod that haus Selected the pwdkmhb nudked of ftmelmomme.Mmaj1%or&wmM wwwft mh*ntbe the <br /> #wSrwbemnwS%Or,NJ ams ami qumnilty2enwamr,11 have made a podfalth~to nabdadme my wale Ihad wawtm=end I cat afford. <br /> -je 42" ................... <br /> Date to <br /> 6=11at6 64(Az <br /> I <br />