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`R <br />0 • <br />ONE TIME PICK UP YE.s <br />PATE ..—._._-- <br />.._. RESIDENCE i Y S <br />CONTRACT CUSTOMER r.j YES <br />f PLEASE PAY FROM T' <br />SERVICE ORDER <br />CONTACT__________._. -�_-__ CUSTOMER NUMBER �`' .•_ <br />AMOUNT <br />w. STOMER EPA s _ <br />CHECK NUMBER_.___.__ .,. <br />PO. NUMBER <br />cao a. STREE i5 GASH RE.CEkO <br />� Iuua�Hn' <br />.. ... . .. .:.... _ COMMODITY_ <br />HALIDES P.P.M. <br />t4t, R{:R4 HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS)' I- IF CODE <br />i' <br />-tio PtA,-4ADS REWIRED* <br />:}'NQN RCAA. HAZAR3OUSY.AST£, LIQUID (ETHYLENE GLYCOL SOLUTIONS) StAIE CODE,_.,...._._ NEXT. SERVICED . <br />-W PLACARDS Of, MASKINGS REQUIRED' <br />C OTHER .,_._ .._--._.----- DRUMS OtTl7S S <br />MANIFEST NO NO. OF GALLONS <br />DRIVER t _,; ` TRUCK NO & _ - <br />D USED OIL AND GASOLINE FILTERS --- <br />Q 9t` u 587 <br />. 1.510-487-9277 <br />ALTERNATE FAC&LM <br />DESIGNATED 1% ASBURY ENVIRONMENTAL 1 E")CES • 2549 SCotA.enue * Ch<Co, CA 95928 • CAL000827844 <br />,.. A56UFi"'l ENVIRONMENTAL SE$4Y(GES•CHJCO iL LLC • 1618 W. 5th ST., ChICo, CA 95928 • CAD980694103 • (HOC7) 738r <br />A.SSURY ENVIIR(?NMENTAL SERVICES,FORTUNA • 200 D1n*sntore Dr., Fortuna, CA 95540 • CAL930256136 (800) 73,3i90� <br />�SA.KERSFTEL6TRANSFER INC;..1620 E. 6"$ndege. Ln • Ballarstield. CA 93307 • CAL0002H2598 • (861) 377.0308 <br />DW tt.. DIXON • 7: (jQ Qwrvlw Woy • Drmon, CA 95620 - CATOBW 2602 • (707) 6936008 <br />DE NNOAMROOON • 2.1OW N Alameda Street +Compton, CA 90222 • CAT080013352 • (310) $97.71 <br />EVERGREEN ENV. • 3139 N. Valentina Ave. • Fr6Bno, CA 93722 • CA0982446682 • (570) 795.4400 <br />C..Y RAk/OS ENVIRONMENTAL • 1515 S. River Road • W,. Saorarnento, CA 95691 • CAD044003556 • (916) � <br />0 SAN JOAQUIN FILTER RECYCLINO • 14287 E Manning' Ave. • ParRer, CA 93648 • CAL000Ip2751. <br />if <br />>N k <br />n, ALTERNATE FACILITY _.�— <br />AISEDANIRINIEM AND OILY WATER WASTE STREAMS ARE <br />RECYCLED AT OUR SISTER COMPANY OEMENNOiKERDOON THE <br />LARGEST <br />Trn b toCeti+N OWVw a6we . <br />W Mph, sh04fe to yr <br />an etS ilr x <br />RE,CYLt.ER OFUS OIL IN THE WESTERN UNITED STATES. <br />uw DeParYrwit pTianrsl+szr�ion <br />.; EF'A'e}I t&40.VE tOT MI'XEO THIS WASTE WITH ANY <br />OTHER <br />. tr <br />X <br />Ti{AP TME TOTAL HAL10E5 ARE t E5S THAN 1000 PP.M . <br />Aa�TTHA7'iYsYsST£O{IES NOT CONTAIN ANY PC 8'S. <br />� <br />Tri ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br />X <br />01 t+f'T#tt'S WASTE IS OVER 100 PPM TOTAL HALIDES, ORIN <br />777, <br />M <br />