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FOR SERVICE CALL:
<br /> SERVICE ORDER
<br /> PARLIER ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO.WOES004-D (1/17)
<br /> 559_498-0240 85G ` SERVICEORDER NO.
<br /> FOR ACCOUNTING CALL: Aft
<br /> VVO)DI,Y U
<br /> 562=231,7550' N2489043
<br /> - AF 125
<br /> WORLD DML
<br /> ENVIRONMENTAL SERVICES,
<br /> 1 S STOCKTON DODGE INC 14287 EAST MANNING AVE;PARLIER CA 93648
<br /> 1-559-498-0240
<br /> P 3333 AUTO CENTER CIRCLE' PO BOX 6009.
<br /> R WWW;WbRLDOILCORP.COM
<br /> E
<br /> T. STOCKTON,CA'95212 TRANSPORTER EPA#CAD028277036 STOCKTON, CA 95208
<br /> C? '(209):477-3688 (209) 477=38@8
<br /> CUSTOMER# PURCHASE ORDER#• ROUTE# TRUCK It CONTACT NAME ORDER TAKEN BY HALIDES
<br /> ST0627 R ?LaTE,124 S'+rH DULET�-I
<br /> a
<br /> DATE REQUIRED: DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# BILL of LADING/NIANIFEST t
<br /> I•
<br /> 1211 x/ 17:.•
<br /> ./20117 , GA1 9�1 QBlow 3 L.
<br /> PART'# DE5CRIPTIOFV " QTY LYNITPRICE QTY'P/U TOTAL
<br /> _-•WOSC USED MsEIMcsCHAR(39>. a Ja::. .; 1 $80,00 27 $80;00•,
<br /> ll �? USED OIL1 MMD OILS 300 $0.00 $0.00
<br /> M.T
<br /> CFO s-Streets: f
<br /> FCTAL
<br /> CHECK#' Aacpslr .Manager:Sta4 ► .... . .
<br /> WASTE Dl5PCi5AL INFORMATION
<br /> IRON-RCRA HAZARDOUS WASTE,LIQUID,OJSED OIUMIXED OILS} STATE CODE 221
<br /> 'NON-RCRA HAZARDOUS WASTEYQUID(ETHYLENE GLYCOL SOLLJiONS). STATE CODE
<br /> •.::-.r:..'r;,.. jI,•,I..,.,rr:.,....r,..,..:
<br /> ALTERNATETSQF: �RSt E1RYfFAllil tMk°1�P 3 fMCE�C@RE'�;r@ 0 MC►R�3PN Imo;t�RE C✓�f35:VS9�2[f9]9dt»# ; 4184[1399680.
<br /> DRLINIS P/l): EMPTY C]RUMS n,FACILITY::- . BSC
<br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE BOX)
<br /> By$,yn"below I hereby conllyttmr. •-r.y,
<br /> (Waste oil generator/Customer MUST dieCk ONE of Lhe Fallowing three boxes)
<br /> l I hex nnf ml•cil anyol rhe Kane dr tkttxK!abam+Iib any Debar t+sxaidous w,sli,Ills 4oial hatWe'Senie
<br /> Is LESS th7A i^Q Jrp+h,arut ih,•%vrntdae nos mntarn dny PCr1L I lure Complied wqh rliercrlukefrWnis of
<br /> sh_rarVicahk Cahfofga used oil nunagen>t:nl Icrp+l,Hbns to del�rminc this Ia true.I arpr'c to aciepe rhe xltllllrmat charges for thelgrpesal of shit walia d the Iniwmilion I lure prmgdedabwn this w.isic is inc�+In
<br /> 1=11P2 rhivc not mt.`d any of Vie waoe dnsenrcd above with any olKtr hdraWcus waste,the total halide Content is GREATER than 1,0W pprVLInd rhe waste doer nut cdncs1n any PCR,-I
<br /> "inp!vrrdFd rapef dgCVmentlllpn Io Wpfid 0iI EfVnrvpnrwnraI SCMCC'�tp rGtwt thC.PrrsP�+p,llm Iha6his wa ser WJ:mixed with at"h4:endow w4me,owe to at wpt the adrlrtipnal[Ilalyps fpr the dhpos Dor thtl
<br /> waste p iltc.hrifwrira:Mit I havli p?v{kled,a�xwxrhkcwaatr ly inctirrrce,• i•• •,• .,�t:..,,. i .. ,
<br /> [ 01thlf.w04 is mors,slx*Whichco*ch waxc nit from h6u50i0lu'drrli-9AWTr'tf]IY1 zlntAtcondi!icrta[lyeAwnpti snUW.sl mnrllygennaler I ESOG1%ocjpt L To IIke hest of my knmvledryr,the unVurasfe olr r:on,,dnrd
<br /> In m,(IYl.t:bkbyk,lfsafl iA t}`W y Nom Manalar CifSQS iew4ox Fhfvti'dotrN-i ad.ehhvratte 611 wlih riny'dthei hafatefptn uta ire or wane CA ffonl uther lourcei 1 agree rp accept the addlilonmiYharges for dl:pni.+i
<br /> of ihkt waste if tht Enfprmition t bare pro,,Ido about this waste is Inc ancct
<br /> r (All generators/customers MUST read the following text and check the associated box:)
<br /> ay'I em a large quandly general or.I ceFri fy that I!rave a program fn ph ce to reduce The volume ami reakityaf waslr liu4rsto to tire&9r"I hrrpdeterrrslned to brecenumkaliy prJctkabte and that I have
<br /> 'kdnd.thq Praeticablen,etfiod Of IrtdtrrhnL steaagr,ar'dhposat currently avaL&j tomewydth inlhlrtkt*-y the Frew*l and future thirrat la humar lifii-nd,she entinonrnena.Or.d I am a:mull tryansity generator,I
<br /> have mad.S good"Ih Ortizt 0 minlm4YN my w;I i to+Jcnor•ttrpn ardsekFt the betan'f method lh at is avalrable Its rno Orae I rtin afford: •� -
<br /> This indl vidual OVIng In the space set rorih below pit behalf Of Custonkar feprCSer115 and waffa nti that(wase has Ihp aulhcrkiy to bknl Cullorrlbr,she gpkng dgKrlpttont of waste and materials are tnr@ and ac[ura[e
<br /> as packaged ma+kad and labeled.are ready&m uampwtatrfRjt s a Onto vrhh�pplkabta stat¢and Icticral reRtrintlo is,and lhalCuslwticryhis, tM1v ad be bound by She 51 w-Wd h'mk and Conditions on rhe revere
<br /> side or thll S�NEce Order.'
<br /> starPier 5+9 r Date r 5ign�ture , Date
<br /> _ _ � f.
<br /> P Int Name• Print Drivefs Name
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