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AbbUNY ENVIRUNNIEN7AL 5ERVICE5, 08A FORM NO.WOES002-D (1/17) <br /> FCR SEW 510E CALL: <br /> PARLIEP4 SERVICE ORDER <br /> 559-498-0240 0 <br /> FOR ACCOUNTING CALL: <br /> 562-231-1550 WORLD <br /> ORLD OIL NQ• N908261 <br /> ENVIRONMENTAL SERVICES. <br /> 14287 EAST MANNING AVE ❑ PARLIER, CALIFORNIA 93648 ❑ (559)498-0240 <br /> FPA#CAD028277036 <br /> DATE CUSTOMER NUMBER <br /> CUSTOMER AMOUNT <br /> PHONE CONTACT CHECK NUMBER <br /> CUSTOMER EPA# P.O.NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED <br /> } (AMOUNT) <br /> COMMODITY_ <br /> CROSS STREETS HALIDES RPM, <br /> NOTES: <br /> 0 NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIL/MIXED OILS)SLATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE, LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. M _. D NO.OF GALLONS x <br /> DRIVER -RUCK NO.&RT <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ 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,GA 94587 1-510-487-9277 <br /> ❑ YUMA YES LLC, 2730 E. 13th Street,Yuma,AZ 85365 AZROCD515924 1-928-643-8938 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> I] ASBURY ENVIRONMENTAL SERVICES-CHICO II,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•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 JOAQUIN,LLC• 14287 E. Manning Ave.• Padier,CA 93648•CALfl00102751 •(559)498-0240 <br /> [Ty ALTERNATE FACILITY <br /> USERECYCLED <br /> OIL,USED ANTIFREEZE AND OILPA WATER WASTE STREAMS ARE This is to certify that the abcve narnod articles are preperiy classified, described, packaged, marked <br /> RECYCLE I} AT OUR SISTER COMPANY D WESTERN <br /> UNITED S THE and labeled, and are in proper condition for transportation, according to the applicable regulations of <br /> LARGEST RECYCLER OF USED 01L IN THE WESTERN UNETED STATES. 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 PPM,; X <br /> pATE <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. I <br /> CUSTOMER SIGNATURE I <br /> *I FURTHER AGREE TO ACCEPTTHE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X <br /> CONTAINS ANY P.C.B'S. PRINTNAME <br />