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FORM NO.AES003 <br /> SERVICE ORDER <br /> - No. N 90541:81 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.-SANTA FE AVENUE o COMPTON,CALIFORNIA'90221 d (310)886-3400 <br /> EPA#CAD02827.7036 <br /> DIXON UNION CITY CHICO FRESNO <br /> 800-727-2879 88&603-8844 800-733-9043 666-994-6937 <br /> DATE � � � ONETIME PICK UP DYES or C1NO <br /> CUSTOMER t� W RESIDENCE ' ❑:YES'or'� NO <br /> BILLING ADDRESS:_ CONTRACT CUSTOMER . O YES or L1 NO- <br /> PHONE -` gNCACT =;w.i -, CUSTOMER NUMBER _ <br /> CUSTOMER ERA(/ � . � �' — ' -- AMOUNT t <br /> JOB SfTE ADDRESS J,�ECK NUMBER <br /> b. <br /> ,. P0,NUMBER <br /> CROSS STREETS 'CASH RECEIVED - — - <br /> Mau"- <br /> NOTESi COMMODITY <br /> HALIDES RPM. <br /> f NOhf RCRA HAZAAUOUS WASTE,LICUD'(USE&OIOAIXED•OILS)'STATE CODE - 1' _• <br /> "NO PLACARDS'REQUIRED" <br /> ❑ NON-RCRA.HAZAFIDOUS.WASTE,LIQUID(ETHYLENE-GLYCOL SOLUTIONS)STATE CODE';______, <br /> "NO PLACARDS OR MARKINGS REQUIRED' NEXT SERVICE DATE <br /> ❑ OTHAR DRUMS DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER TRUCK NO.&RT. <br /> O USED OIL AND GASOLINE FILTERS ■/ <br /> ❑ SA RECYCLING; 33210 Was ,rn Avenu2,U i6n Clty,CA 9+158 1-510-487-9277 � r <br /> U LTER NATE FACILITY <br /> DESIGNATED TSDF: •❑ ASBURY ENVIRONMENTAL SERVICES-*2549 Scot Avenue-Chita,CA 95928!CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHIC.O II,LLC-1618 W,31[h St.,Chico.CA 95928-CADDSO694103-'(800)73319043 <br /> ❑ ASBURY'IENVIRONMENTAL SERVICES-FORTUNA►200 Dinsmore Dr.,Fortuna:CA 95540■CAL930256136%(80aj 793-9043 '.. <br /> ❑ BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln,•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON•7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑ DEMENNO/KERDOON •2000.N.Alameda Street•Compton,CA 90222•CAT0800-13352•(310)537-7100 <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave..-Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> F-1RAMOS ENVIRONMENTAL•1515-S.River Road W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> ❑ WORLD OIL-SAN JOAQUIN,LLC 14287 E.Manning Ave. •Parlier,CA 93648•CAL000102751 •(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USEO OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE Thi;is to terrify that the above named amclas are properly classified,described,padragod,marled <br /> RECYCLED AT OUR SIS. £R COMPANY DEMENNOIKEFIDOON THE and labeled,and are in proper condition lar rransparlawn,amordinn to the applicable rNuWlons el <br /> LARGEST RECYCLER OF U O!L IN THE WESTERN UNITED STAT FS. the D0p rlrnent ai raTrel rTFttr4n- <br /> 11 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT T'HE TO1AL HALIDES ARE LESS THAN 1000 ..P.M.; X �• �_ <br /> AND TF IAF THE WASTE DOES NOT CONTAIN ANY i�C.F3'S.. ST]�il`1 iN4 UItE 1 [7A <br /> 1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 RRM.TOTAL HALIDES, OR <br /> CONTAIN.^,ANY PC.D'0. �FI1h174nK�G <br />