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ASBURY ENYIRONMENTAL SERVICES, DBA-- FORM NO':WOES002 D (1/17) <br /> FOR SERVICE CALL- ' r� -� <br /> PAPLIER `SERVICE ORDER <br /> 559-498-0240 <br /> FORACCOUNTING.CALL: Q * <br /> 23., <br /> -79 !WO1LD aNL V'79 <br /> ENVIRONMENTAL SERVICESn' <br /> 14287 EAST MANNING AVE 0 PARLIER,CALIFORNIA 93648, p`;(559)498-0240..-... ". .. <br /> EPA#CAD028277036 <br /> DATE' 17, <br /> _ C.USTC]MER NUMBER..LL:_ <br /> CUSTOMER Y ► AMOUNT . <br /> IJ <br /> CONTACT CHECK NUMBER; _ <br /> ,LI OAfE 3'1=PAH ' i.v U ' NUMBER . , <br /> r <br /> Q5 TO, S AaAo. C6 +f GASH RECEIII>`d` '_' <br /> ' 0_ .A Ci]M_MOI7ITY <br /> CROSS 5>REETS .- HALIDES <br /> NOTES: <br /> © IVO <br /> LA <br /> Ot�-E RAP.iHIkZAFIDf]U5 W�kgTE,LIQUID(L'IS£D;01L IXED.OIL'S)'STRTE G'Q4� - 221t. <br /> . •`iJO <br /> .0 -N.CIN-FiCRA;HAZARDOUS'WASTE'LIO[J[D(ETHYLEN�OLYCOLSOLI ff,IONS),STATE'G_[`SDE=:' <br /> F-x`f'"S7~FIIJICE t�ArE:� " :a <br /> �ilO PI`ACIIR[35 DI:i.INhFi1tINGS � .. . . _ _.. . _ <br /> 7 OTHER: DRUMS.. . .-..DRUM SIZEr <br /> hdANIFES7 ANO:. - NO.OF.GALLON$' <br /> t:7RiVER, . TRUCK NO,&RT- <br /> ❑. <br /> USED AILAND GASO(_INE.FILTERS -- — = <br /> ❑''BIG SKY ENTERPRISES,: 401 West'Chanriel'Rd.,Benicia;CA 94510 CAL 000301639 i-510=541-2128' "•` <br /> ❑. GLOBAL MATERIAL MANAGEMENT, 1640 N.Broadway Ave.,Stockton,.CA 95205 CAL 000417316 1-818-770-2577 <br /> ❑ SA RECYCLING,' 33210 Western Avenue,Union City,CA 94587 1-510-487-9277 <br /> YUMA,YES LLC, 2730 E.:13th Street,Yuma,AZ185365 AZR000515924 1-928:.643-8938 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED<TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES-.2549 Scot.Avenoe•ChICo,CA 95928._•CAL000827844." <br /> 171.ASBURY ENVIRONMENTAL SERVICES-CHICO II,LLC•.161B W-ti�th St-,Chien;CA 95928.r CAD980694103•(800)733-9043 <br /> ❑, ASBURY ENVIRONMENTAL SERV ICES-FORTUNA t 200 DImrr dOt*Ds,Fortuna;CA 95540•CAi 930256138•.(800).733-9048 <br /> ❑. BAKERSFIELD TRANSFER INC. 162(3 E.Brundage Ln.•9tlkeF0101d,CA 93307•CAL000282590 li(661)377-0308• <br /> ❑ DIK DIXON•7300 Chavron Way•Dlxon,CA 95520•CAT080012602■(707)80-6008 <br /> ❑ DEMENNO/KERDOON•2000 N.Alameda Street•Compton;CA 90222•.CAT080013352•(310)537-7100 <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.diver Road•W.Sacramento,CA 95691 %CA00.44002556•(916)371-5747 <br /> ❑ WORLD OIL-SAN.SOAQUIN,LLC.• 147-87 E:Manning.Ave:+.Earlier,CA 93648-.CALOOOi02751 •(559).198-.0240 <br /> ❑-ALTERNATE FACILITY <br /> USED OIL,USED,ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is I c*, atiova named articles are praperly CI'assificd,described.packaged,marked <br /> RIECYCLED AT OUR SISTER COMPANY DCMENNO/KERDOON THE T.lIatroperor trsnspOrtBlrMl,arcading la She applirahle+cgufAtinns AI <br /> LARGEST RECYCLER OF USED OIL iN THE WESTERN UNITED STATES. SheD,�p, lniwlat[. <br /> 'I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br /> "1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X 1 <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.PM.-TOTAL HALIDES, OR <br /> CONTAINS ANY PC 8'S. <br /> PRINT NAM[ <br />