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FORM NO.AES003 <br /> SERVICE ORDER <br /> No. N �� <br /> � 51 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S. SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 ❑ (310) 886-3400 <br /> EPA#CAD028277036 <br /> DIXON UNION CITY CHICO FRESNO <br /> 800-727-2879 888-603-8844 800-733-9043 866-994-6937 <br /> DATE ONETIME PICK UP ❑YES or D NO <br /> CUSTOMER RESIDENCE Ll YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER El YES or D NO <br /> PHONE CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# AMOUNT <br /> JOB SITE ADDRESS <br /> CHECK NUMBER <br /> PO.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY <br /> HALIDES PP.M. <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> 0 NON-RCRA HAZARDOUS WASTE, LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> D OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. �� -. 1 t ,7 -] NO.OF GALLONS <br /> i <br /> DRIVER TRUCK NO.&RT <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ SA RECYCLING, 33210 Western Avenue, Union City,CA 94587 1-510487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CALOOD827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO Il,LLC• 1618 W.5th St.,Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-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•CAT080012602•(707)693-6008 <br /> ❑ DEMENNO/KERDOON•2000 N.Alameda Street•Compton;CA 90222•CATOBOO13352•(310)537-7100 <br /> L] 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 JOAQUIN,LLC•14287 E.Manning Ave. ®Parlier,CA 93648•CAL000102751 •(559)498-0244 <br /> ID ALTERNATE FACILITY <br /> USERECYCLED <br /> OIL USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to cern that the above named articles are ro er! classified, described, packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENN4/KERDOON THE �' P P Y p g <br /> LARGEST AECYGLER OF USED OIL IN THE WESTERN UNITED STATES. and{aheled, and are in proper condition for transportation, according to the applicable regulations of <br /> the Department of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. cusroMeA SIGNATURE para <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL lF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X <br /> CONTAINS ANY P.C.B'S, PRiNTNAME <br />