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SERVICE ORDER <br /> FOR SERVICE CALL: <br /> PARLIER ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO.WOES004-D (1t 17] <br /> 559•-498-0240 wo 1350 '= SERVICE ORDER NO. ; <br /> FOR ACCOUNTING CALL: WQDIY() <br /> 562-231-1550 <br /> r ;•'C' AF 125 <br /> WORLD OIL <br /> ENVIRONMENTAL SERVICES. <br /> S 142$7 EAST MANNING AVE,PARLIER CA 93648 <br /> H S1 OCKFON L)OC1(�E INC 1.:559-•198-0240 <br /> P 3333 AUTO CENTER CIRCLE PO BOX 8009 <br /> P WWW.WORLDOILCORP.COM <br /> E <br /> °' STOCKTON,CA 95212 TRANSPORTER EPA#CAD028277036 <br /> T STOCKTON, CA 95208 <br /> o (2091477-3508 (2E}H <br /> 09)477-38 <br /> CUSTOMER# PURCHASE ORDER# ROUTE# TRUCK# CONTACT NAME ORDERTAKEN BY - HALIDES <br /> sr0627 . .124 qQ Z� SCHEDULED-I. <br /> DATE REQUIRED DATE ENTERED • NEXT SERVICE DATE CUSTOMER EPA.# BILL of LADING/M/NIFEST# <br /> 7124/201 7 . • 7/24/2617 <br /> PAR T# DESCRIPTION QTY UNIT PRICE, •QTYP/U.- TOTAL. <br /> CHA <br /> WQSC' Uf~I -OIL,SERVICE }�Gi=: t $80;00 '. ;`$80.00 <br /> WCC USIwt3 UIL1 M1?�O C1l .S 450 . ,7$0.00 $0.00 <br /> SATCk iR <br /> I <br /> s StTt3:• ;, ( - . . <br /> TOTAL', <br /> CASH RECD- CHECK k <br /> i.<WAST�oiSRio <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIUMIXED OILS). STATE CODE 221 <br /> NON-RCRAHAZARDOUSWASTE,LIQUID'(ETHYLENEGLYCOLSOLUTIONS) STATE00t—. <br /> OTHER: <br /> DESIGNATED i SDF:�s�R3`E1V1lEREfi#TAtSElilflR9M$Rt�A�i ft r <br /> ALTERNATE TSDF: � � <br /> DRUMS P1U: EMPTY DRUMS: I=AGILITY-' 85C w <br /> GENERATOR WASTE CERTIFICATION (PLEASE CHECK THE APPROPRIATE BOX) <br /> t <br /> By signing below I hereby certify that: <br /> m (Waste,oil generator/customer-MUSTch'eck QI. E of the following three boxes) <br /> 1)I hove not ps•d any of thtwaste detclrlsed above voth any olllpr h4wa Jaus w,stn,the total th�l lde fddcie <br /> Ntnt 1s LE55 then IXW ppFm and the waSles not contain any'Cus.I have complied xvth the m <br /> recwreems of. <br /> theapplkableCellfornlausedoII"nagmsl <br /> ensentecgulattomtodcleneihhishu0.l6gleetoeccepttheadditlonalchargeiforthedisposalorthiswasteiftheinrormalion1NaveprovidedaboufthisvomteisIncorrect - <br /> =021 h we not mired any a thewastp desnibed abtNe with any other haasrdws waVW,,the mial1ia11db content It WATER than 1.05D pprn,and Ilse'waste does nor contain any PCRs.I <br /> have provided propot docutnenraltnn to World 015 Environmental servkos to rebut'the pltuunpllon that 1111swasto was mlcrd.wiih elfterilamidDurt wastd I:rgiee to accept she additional charge.fur she(Iliposal of lhla <br /> wrote if the m.ortrutrofl 1 have ptortdcd WbolN Ihk waste k litcwrcu <br /> CIr31 Thtswaste4from a tartk width col.KU waalaod'frwry houselwJd:�Iq 1p yeipry it',6:yx5rssftcw pond+rhpaUy e)rrrsflt small yJanIIiy 001%4w IC"S 5;wcel.to the 4f it of n+y Pnowlodlm lisp%PnAVwaNr,nil arnla+pFd <br /> In.my DO/CnWcolkulon tank k soley from 01Y andlor CESW wumes.l have nln ml,ed Iftls w,sslC oiiw.th anyrahel haiaidtsuswaste or waste vll horn Other solaces 1 agrem[a atcept the add1110FV1 clsugSyfoRdYspgsal <br /> ar rhls waslq If kho lnformavoie I h],m is aek 0 Aotit ihli wJ%I0,Islnuwmct - <br /> (All generators/customers MUST read the Following text and check the associated box.j <br /> 41If 1 aura large quarrtlty gerterator,I certify that I have a program Irl piate to PMme the volume and smlclry of waste genetaled I*the degree I havp deleruimsi tv be ecorlorntcally prnttreable anti ihas 1 harp <br /> sO Ected the piactieeble method of Gcasmant.suxape,w dfipaial c"60n,11y avalbll le.to me wAkls'rNrum4es lhe.mesem <br /> nt and future'thrutto huaP h7CAnd the mvirmilenkOr.if I ani o Sma l,t{s anlisytjowtie%w.I I, <br /> have Madel good foto pfreut to ml nlmite,my waits yewatwn and wcct lhg bust w411rrrt4irso9emenr method that a ay.,iiik oto rnq L"I fAn aft.r& <br /> Thls md1 idlest ugn Ing in The!space set rot 11,befaw on behalf of Cwtonior mprescn%Wei`yjrraidW# <br /> s ihxl hIe Fat lh .1 <br /> o =oibind lly to Customer,that the forgoing de:uipllons of ymxe and inter iais are true and acesuare <br /> as parka d:ma.?.le i and latseletl,arc rehdx f nsportadon in accordance vAch*pllcabto slab and federal rmqulallank.and MCuSlatner;hair ahrdrt bvtds¢try thp,5tarsrimd Terms.ind Condalons nn,the reverse <br /> std ortl r.wnrlce order. <br /> Z,r <br /> Cus e Signr f Date verSignature ate <br /> �� w1�C civ � • <br /> Print Name Print Drivers NdrrlFl <br />