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FOR SERVICE:CALL.: <br /> 'DIXON OFFICE' ASBURY ENVIR NMEN7AL SERVirESt DBA �'s FORM ND.WOES004-8 <br /> 7-tiOD•7-ASBfIRY W.0 650 . ' rf SERvsCE❑RDER NO. <br /> I AAR'LIER V4FC7i iY a <br /> t; N2W2149 <br /> 559-498-0240�r Ar, x t0l. <br /> cNrco' WO R LDtI101 L� <br /> 8Dr?=�3�-9Q93r r <br /> ENVIRONMENTAL SERVICES..' <br /> s STOCI�TON DODGE-INC 1304 SOUTH SANTA FI;,CQiy1PTON CA 90721 <br /> H 3333 AUTO CE'NTER'CIRCLEPO WX x009 <br /> LC)s ANGELES OFFICE <br /> P 1-800-974-4495 <br /> F STOCKTON,CA 95212 5TQCKTON, CA 5520 <br /> � � 77-� TRANSPORTER EPA#CAD028277036 <br /> (209)477.3868 <br /> f .CUSTOMER PURCHASE ORDER# ROUTE'1!' TRUCK CONTACT NAME ORDERTAKEN BY HALIDES <br /> 'ST0627 .124 "EDULED-I <br /> DATE REQUIR�b :. :;DATE ENTERED NEXT SERVICE DATE'• CU51WER EPA'# ti.PILL Of LADINGIAMANIFE5T 0 <br /> 3/9/2[)17 3/90017 . CAM11967680':.. <br /> PART P DESCRIPTION CITY UNIT PRICE QTY PIU TOTAL <br /> WOSC USED OIL SirRV)Gt*CHARGE 1.= $6400 X8[);00 <br /> WC} u, 'OIL 1 MIXED OILS -:�, , $0.00 <br /> BATCH <br /> G!6z .ft TOTAL. <br /> WH RECD: CHECKq' <br /> i WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE,LIQ D(USED O1LIMfi(ED OIL5y STATE CODE221' <br /> 'JON=(tGRA IIAZARDOLIS WAST�•LIQ•a(ETHYLENE GLYCOL SOLUTIONS) STATE CODE•-. . <br /> i OTHER-. <br /> DESIG TEDTSI]F:= �ALSBRSdC BSC }Z!? ° sdt tl'"l L <br /> ALTEPNATE TSDF; - -- -- - <br /> DRUMS P/U: ­ EMPTY DRUMS: FACILITY: r B5C <br /> GENERATOR WASTE CERTIFICATION(PLEASE CHEC5THE APPROPRIATE BOX) <br /> gY sighing bctawl hcitiiy.ccnVfy dsa4 <br /> (Waste.oil generator/customer MUST check ONE of the following three boxes) , <br /> i1Ihavennt.mixedarryu}lli@wastedescnbcdabbwwith anyolherIPumdouswaste,thttotalhaildeconsentliLEISthan 1',00ppm,andthowaste'dmsnot titmalnany Ms.Ihavervn iedwith ehgrequifementsof <br /> appNcaWeCallfamlrUse+ddHminagementregulations todetermine this Nnue.Iagree toa«ept'theaddlpmai<harrpeiknthedisposaletthkswastedtheinfagnationjhaveprwli"t0outthisw.tslei:Jnrnrrect <br /> CJYx I havo nod 1niFed nnyof sled wasec sleuelhed*sora wrtit xry villa hasa±douswaxa.shctotallulklr clWtolsC IsGRFATERt}Ipn s 119�ltiplrti And the wistadosY ri0Cc8nt0ln argr PCS>.t ' <br /> hare-pto ad proper documenWrion id World'pl EMieomneWil SCrykas if!rebdt dse presufopsian than this wasto oras mixed wlihlplhu harArdata waste-[agree id aurpt theaddhion,'d cturm fen The disposal of this <br /> wash U I]lt nfTermalVan 1 haw provklcd*linos illi:i'Jatie�t 1peo mml - - - <br /> �1a3]illi:wane ti llwn a unkwhicli ccikKls wafte oil from hmnahold'do•Is•yoursclV 0Yi aendear•cnndirianaitycrcmpl atsafl1*1niltygenoralbi K SOGlwurcn ToOm bntoTmy.krrowWdgQthrcudywasW oY cenlralsCd• <br /> In nsyd}7s'1xE5Q('callecsrdn Mors soley.fiam!)SY aridrop CFSf]G ipurces.i h.mr not ml.ed illi:waste oil with any Diller 1ia1Wd0uswaste ar was1A o1i retsMosflr+sdlltMs;larjreemaS'�ept•lste addl:Wnnl ettargrs Itn disporll <br /> of;.Wwast4 it the InformaUen t Rave prodded about tats-vale is In—ect <br /> (All generatond CUSWMeM MUST read the following.text and check the associated box.) <br /> F•l1lf I am.s large qu.tninyhrnC+ot W,k Crererfy shat Iliary a pengram in ptxa to reduto the unlumv anJ lmiclly ofwasS"e generaird to the degree I liavrdrevrmtrred so be cYenCrrPleally prxifcatfrand dial 11,1y') <br /> s ctcd the praatiable rneihod of trcatrnent,siorago.or c1hpotal eurrenify aa7ilable to env which minlmiam the piewe d and lulurctlural to human Weand ilia envlmmirtnu0r,if Inns*;moll quanntygmr .ater,I <br /> twee mode a riooJ faltls Owl lojitonu ittPrny wassv rtcncradOrr msd,oulrct ttre AeLt whir rrunogerrwot rnvUvA that h ovallabiein rrsn•thal d can allord it, <br /> Thlt lisdlsidual sl gning In the space to Tde ih below on behalf al Cusiwnar roprrunts and war Ands that helsha tsastf+a a1,1111,0i Ply to ulnd Customer,that the forgoing descriptions of waste and materials are true and accurate <br /> as pat Wyed-mar LMan d kiber rd,air faudy doe lintipartaliws in atcmdanev Mill apiliwzw sato and fodoral"Watlarm anti that Custamcr Neat!abide and be bound by the Standard Terms arta Condition;un ilia iew-ow <br /> side a f 1h rs!iw"Ce firaee, <br /> ev <br /> TO AL7-V <br /> Custom $aa ure Date rSi na a pate <br /> Print N,imp rine nrivprc N,)mp <br />