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FOR.SERVICE CALL: SERVICE ORDER
<br /> PARLIER ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO.WOE5004-D (1/17)
<br /> 559-498=0240 Wo 680 5ERVICE ORDER NO,
<br /> I.
<br /> FOR ACCOUNTING CALL: WQIDIY 4, N2481984
<br /> 5621--231-'1550 -
<br /> . A1= 125
<br /> ,,. WORLD OIL
<br /> ENVIRONMENTAL SERVICES«
<br /> H STOCKTaN I7.C)gGl�INC:. 14287 EAST MANNING AVE;PARLIER CA 93648
<br /> P 33,3;3 AUTO CENTER CIRCLE 1 s59 a9s 10240- PO pox 8009
<br /> e WWW.WORLDOILCORRCOM'
<br /> E
<br /> STOCKTON,CA 9$212 TRANSPORTER EPA#660282770341 S7C3G}CTOn, CA 95206
<br /> Q (2.09) 477-36(38 (209)477.x3898
<br /> CUSTOMER# PURCHASE ORDER# ROUTE# TRUCK# CONTACT.NAME ORDERTAKEN,BY HALIDES
<br /> STO R )UT5124 L1 1 SCHEauLED-1.
<br /> DATE REQUIRED DATE ENTERED. NEXT SERVICE DATE CUSTOMEA EFA R BILL of LADINGIMANIFEST#
<br /> 1215ap.17 •• „r 1?111A17 CAD$81.997680 .
<br /> PART'': ; DES,CRIPi1aN QTY UNIT PRICE: PTY P/U,, TOTAL
<br /> W-OSC Lj'SED.OIL SIwR.VICE.0 HARCE. - 1 $8.0.00. . . $80,00
<br /> w,c�, ' us�o.old i.M1�D o:�s�• �. • •,
<br /> BAI-CH 4
<br /> Gra 5tratat ttaTOTAt
<br /> .r ,r. _ ' -
<br /> CASRREc`Q:•,,�L 'CHECK'I ."Wt 11+1ranp!_per 4&-';cutely
<br /> WA$�E DffOSAL INORMATION',
<br /> NOWRCRA HAZARi>OUS WASTE,LIQUID.usn)d1tJMl7[EC7'C31LS] STATE CODE 221
<br /> NPI -RCRA HAZAADOU5 WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE : ;'I s•,,,,�}
<br /> OTHER:.
<br /> DE5IGNATEDTSOR: rSf3rJRY EhNiRUitii.lcTiFr L ErZVIC �EEf E9H� �8iiCi64�1 F $R 3 CA s$( )64i=� Lt BBQ
<br /> ALTERNATETSDF:
<br /> ri
<br /> DRUMS PIU: EMPTY DRUMS." FACILITY:, B5Cy
<br /> GENERATOR WASTE CERTIFICATION(PLEA SE,CHECKTHE APPROPRIATE BOX)
<br /> Ay►IQnlrna beta«I hemby«ndfy that
<br /> (-Waste oil generator/cus.tdmer MUST check ONE of the-Fallowing three boxes)
<br /> 1 J f 1j lint ilslLedaily-ddttie"lty dnsc,lb,nl aVmrwieh terry other rsaiamwux waiii0hc}oral haiid0 conical Is LM'rhan 1,066 ppm fond shit wJilfi tinea nos 4attain lsly FCEf havtrronsprice iii the regtrlemeiil;'c r
<br /> th applltabfd CaAfwmw dyed ak rmnagoanrm rcyu}erians to determlre this is live,I m poo,to jccrpt the addlstanal chargm for she dhpgsal of th' walla iftha infvntsation I hove promed aboitt llyswassr fs lt;6r kz
<br /> 1�7a:I have rent misted any of llxrwastedeufavul abwe with airy other hA-imdvus waue,resat tat.sl halon. ansrnr Is GREATEllt ftn%JM ppm,andihe watte does not Cunt?ln any KU I
<br /> hav8 plqrldrd Ftrvprr{foeytnen>at"p 6 10611d Of Snylronment615nvtces to rnhut Iter pre kp mpl,0 that this waste was na[od with athoi hmaidv45 wa:sn.tAgree Waccept Ilio addillanal,cNffj nI'M shn.di:rxral nl Ir,11 .
<br /> wast;If the.irrlpe rail l on I Nava pe&Mcd tt,nur this wasiGl ocufn[i
<br /> 17+s3t INS waale ii ir—n a lank whlch'eollocst wafer all ham hovwhafd'dd'-IS-yorrrsalCltxyl aridlnreNrsai*antlly r, nejasr+(mrk1f %tkjeiri.To the blest ormyknu+Me,klr,rhd eilll,�."ve bit cwnalrird
<br /> In my 01W<l Sgt't ollel;Ab"'is:Qlcy fivri4plY anift[FSQG•svuf2ri.l hivv'Jlotrnlsrd 11115,wasto'ciry th any oihcr haraedowi matte or wosignfl fidtkalhw idlaea l near iv acedpt IM 9ddlddrfw chn rgr s.lvr dr,po:a1
<br /> W Ihit vizi 416 it the informal tan i haw#provided abouI 1141:waren it Irteacrncr t•.
<br /> (All generators/customers MUST react the Following text and check the associated bort:)
<br /> a•}11r1 am a latae quartul y grilva ler.I certify Ilial I have a program In place is mducv iho vol urne Jnd IWICJ ty 0 via Ste gpnerarnil to rhl'd6gfrc f hyvo determined to he economkAy prat citable and that.I hava
<br /> re teiil h4 practtC•ablc method of tiroIricni,%161nr•,a(05pow tttri"i ly ivalli"11 Io,me which minilnlmthe piet+mt tend 141nee tlnrat ra human Rk and ShrenvlronmenC C),d l em a%man qunlAf-jer .inor.I
<br /> have minld'a go6d faille Linos td eY4lntntirt•my wa sic ovnerat[brs and z,Ike.the best wastir maeragorkt,6nethoil shit hL Mrallable to tne'that I u4n afraid.'
<br /> This hnpvklual slgeung In ihe%pace set far til Ly�VPw on hrhalf of Cuaronrrr eeprrranrt and W.Irrantt that hNshr hal Ihrl authil Icy Sp hind Cuitotne� t o mo Ing dvscapVens of nnsio and mattnals ore irur.and Hwiale
<br /> Au pa6agnd,niat},rd and labeled,ate ready fpr itan sponai l on to accmdanar veal+applk4 .•$tare and federal rvilAillions,and Ilia,Qstwlmt afI abkc a, be bo Lind try the Srandw d tsu ens and Corwin loe,t on the Ievt rsr
<br /> side of chis Service Oider.
<br /> ustomer rgfir3ttl Date rlv�rSirgnnature Date
<br /> cl
<br /> cit t Name Print Drivers Name _
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