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559 - 498 -0240
<br /> FOR ACCOUNTING CALL : (� �• 9083278
<br /> 562 . 231 - 1550 WORLD I8L
<br /> ENVIRONMENTAL SERVICES -o
<br /> 142. 87 EAST MANNING AVE ❑ PARLIER , CALIFORNIA 93648 ❑ ( 559) 498-0240
<br /> EPAit CAD028277036
<br /> DATE _ CUSTOMER NUMBER C A L
<br /> CUSTOMER lJ-t � 1 ��� � n � ��' � p� r � AMOUNT
<br /> PHONE/2QC) ) 6P (a S ` 1 CONTACT uQ1 CHECK NUMBER
<br /> CUSTOMER EPA 0 CA 0OL^ Li 3 ( � G) P. O. NUMBER
<br /> JOB SITE ADDRESS i ago 00 n " CASH RECEIVED
<br /> tAMouNn
<br /> 0 CA C�rj � � `h COMMODITY � F
<br /> r
<br /> CROSS STREETS HALIDES P. P. M .
<br /> NOTES :
<br /> U NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS) STATE CODE 221
<br /> *NO PLACARDS REQUIRED*
<br /> VNOWFICRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE 1_a
<br /> * NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE
<br /> O OTHER DRUMS DRUM SIZE
<br /> j MANIFEST NO. 0 ''� �I Q - -- NO, OF GALLONS
<br /> DRIVER on cl TRUCK NO, 8 RT.
<br /> `12U
<br /> ❑ USED OIL AND GASOLINE FILTERS
<br /> I
<br /> U BIG SKY ENTERPRISES, 401 West Channel Rd . , Benicia, CA 94510 CAL 000301639 1 -510-541 -2128
<br />' ❑ GLOBAL MATERIAL MANAGEMENT, 1640 N. Broadway Ave. , Stockton , CA 95205 CAL 000417316 1 -818-770-2577
<br /> ❑ SA RECYCLING , 33210 Western Avenue , Union City, CA 94587 1 - 510-487 -9277
<br /> ❑ YUMA YES LLC , 2730 E . 13th Street , Yuma, AZ 85365 AZR000515924 1 -928 -643 -8938
<br /> ❑ ALTERNATE FACILITY -
<br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES • 2.549 Scot Avenue • Chico, CA 95928 • CAL000827844
<br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO II, LLC • 1618 W. 5th St. , Chico, CA 95928 • CAD980694103 • (800) 733-9043
<br /> ❑ ASBURY ENVIRONMENTAL SERVI CES- FORTUNA • 200 Dinsmore Dr. , Fortuna, CA 95540 • CAL930256136 • (800) 733-9043
<br /> ❑ BAKERSFIELD TRANSFER INC. • 1620 E . Brundage Ln, • Bakersfield, CA 93307 • CAL000282598 • (661 ) 377-0308
<br /> ❑ D/K DIXON • 7300 Chevron Way • Dixon , CA 95620 • CATOB0012602 • (707) 693 6008
<br /> ❑ DEMENNO/KERDOON • 2000 N . Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100
<br /> ❑ EVERGREEN ENV. • 4139 N. Valentine Ave . • Fresno, CA 93722 • CAD982446882 • (510) 795-4400
<br /> ❑ RAMOS ENVIRONMENTAL • 1515 S. River Road • W. Sacramento, CA 95691 • CAD044003556 • (916) 371 - 5747
<br /> [� WORLD OIL-SAN JOA a LLC < 4287,,ELM�n u A .� Pyrtier, CAr9364 • CAL000102751 • (5 9) 498-0240 p� 49
<br /> ALTERNATE FACILITY S
<br /> )SED OIL, USED ANTIFREEZE AND OILY WATER WASTSTREAMS A E Lt)
<br /> iECYCLEO AT OUR SISTER COMPANY DEMENNOIKERDOON TH Io cern t t th t he named ardclEs ale' pYo reclassified , described, packaged, marked
<br /> ARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. and labeled, an aro i proper condition for transportation, according to the applicable regulations of
<br /> the Oe a; Imo f Tr ispgrtalion .
<br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY ` CA
<br /> )THER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 P. P.M. ; X
<br /> WD THAT THE WASTE DOES NOT CONTAIN ANY RC. B'S. , CUSTOMER SIGNATURE DATE
<br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X
<br /> )ISPOSAL IF THIS WASTE IS OVER 1000 P. P. M . TOTAL HALIDES . OR
<br /> .QNTAINS ANY P. C . B'S . PRINT NAME
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