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FARM NO.AES003 <br /> SERVICE ORDER <br /> Ivo: 9054051 <br /> ASBURY ENVIRONMENTAL SERVICES".'' <br /> 1300 S.SANTA FE AVENUE o COhhPION.CALIFORNIA 90221 ❑ (3'10).886-3400 <br /> FPA4 CAD028277036 - <br /> DIXON UNION CITY. 'CHICO FRESNO. <br /> r 800-727-2879 888=603-984.4 - F4741-733-9{313 866-994-6937' <br /> GATE L /,r / _ _ - ONE TIME PICK UP DYES-dr ONO'- <br /> GC3COMER' ' — � RES117ENCE O YES or ❑ NO <br /> =B1LLi)VG ADDAESS +•'•"" ` CONTRACT CUSTOMER' ❑ YES,or ❑ NO <br /> LL 1>H03JE _ COM. Tw f_'C�C CUSTOMER NUMBER Q_ <br /> Co AMOUN'1 <br /> JOB.SIEADDFlESS �' .. .CHECK NUMBER <br /> ICAL�� i I PO:NUMBER <br /> GR05 STREETS ?':'.C1�5k{FIECI~111ED ; <br /> s .'t;; (AMOUNT] <br /> do Urn <br /> �Nb.PiLAqAHDSREQUIRED* <br /> S3"c'iiA kif�ARDDLj51NASTE;'.LIQUID.'(USED OIUMIXE6.6ILS}-S1ATE COGSE :221 r"`'" ='` ;;,; �; ";^.• ' <br /> 5 • . . Y.• . <br /> 11. NON!iCFiifi k ARDOUS WASTE,L100D.(ETHYLENE-OVYCOL SOLUTIONS)STATE-CODE,.. - <br /> 'NO PLACARDS OFTMARKINGS REQUIRED* " .;' N Sdk%1rCE OATS • <br /> C7,•QTHER.' = DRUMS, DRUM SIZE <br /> MANIrEST NC+: NO:OF•GALLQNS <br /> )HUCKNb.&RT <br /> ❑ USED.,OIL ARID GASOLINE FILTERS <br /> SA RI;QyOt-ING; 33210 Western Avonue,:Union City,CA 94587 1-510-487-9277 =� ; <br /> 1, •ALTERkATE FACILI`IY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERV CES•2549 Scot Avenue+CNco;CA 95928•CAL000827844` <br /> ❑ ASDURY ENVIRONMENTAL SE RVIC ES-C HI CO II,LLC•'16'18 W.Sth St„ 45 <br /> ChFco,CA 928•CADs8069-1103•(600)733-9043 <br /> C) ASBURY ENVIRONMENTAL SERVICES-FORTU NA•200D1nsmd 'Dr.,Fortuna,CA 95510•CAL]3.0258138 (800}733-9043` <br /> ❑ OAK ERSFIEL0 TRANSFER INC. 1620 E.Brundage Ln.•Dokeisfeld,CA 93347•CAL000282598•(6G1)377.0308 <br /> ❑ DIK DIXON•7300 Chowan Way•Diman,CA 95620•CAT0801312602■(707)593--6008 <br /> ❑ DEMENNO/KERDOON•2000 N,Alameda Streel•Compton,CA-90222•CATOSQ013352+(Ao)537.7100 <br /> ❑ EVERGREEN ENV.••1139 N.Valentine Ave.■Fresno.CA 93722•CAD082440852■(510)795.4400 - <br /> 0 RAMOS ENVIRONME14TAL•1515 S.River Road•W.Sacramento,CA 9569.1 •CAD044003556+(916)371-5747 <br /> ❑ WORLD OIL-SAN JOAQUIN,LLC•14287-E-Manning Ave.•Parlier,Cb193648■CAL000102751 ■(559)498-0240 <br /> ❑ ALTERNATE FACILITY - ------ ----- <br /> USED OIL,USED ANTIFREEZE AND DILY WATER WASTE STREAMS ARE This is to certify that the above nrunnd arlicft,5 are properly ctas!, 0.describers,parkagud.marked <br /> RECYCLEW AT OUR SISTER COMPANY D.EMENNOIKEROOON THE and labelers,and are to proper Condition for transportation,according to the applicablo regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. ihr:Pop;rrimcf,,o1 Tran, rtntir)n.. <br /> `I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY• ! 7 <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X - 1 1 12 <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY PC.B'S., ST ER SIG TunE UxTE <br /> -1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LE19AL <br /> DISPOSAL IF THIS WASTE,IS OVER 1000 P.RM TOTAL HALIDES, OR <br /> .a• PRINT NAr,t <br /> CONTAINS ANY PC.D'S, � ;.y <br />