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ASBURY ENVIRONMENTAL:SERVICES, DBA FORM NO.WOES002-D (1/17)- <br /> FOR SERVIeE CAL!.: SERVICE ORDER <br /> 559-498-0240; - <br /> FOR.ACCOUNTING CALL: I <br /> 550-X37=r-s5o' . - W ORLQ:0.1L NO.:IV908 fi•88. :' . <br /> ENVIRONMENTAL SERVICES. <br /> 14287EAST MANNING AVE o PARLIER,CfALIFQRNIA 93648 D ,(559)-498-0240 <br /> EPA#CAD028277036 <br /> DATE lJ :'0. . .y. I CUSTOMER NUMBERTT0 6 L 7 <br /> CU.STQMEFi AMOUNT . .. <br /> 94— <br /> J <br /> • pHgNE f.. 1COWACTHECK NUMBER;..: :• -- <br /> + r <br /> Cl1STOMER EPA# ` U: i ' �"*� � . :PO;•IJUMB)=R ... .... <br /> Y)0$SIiEAE7I7F�E55 :..J .'. " ' <br /> �4- CCIJINiQL71 jY <br /> CROSS STREETS : :HALIDES` - RRM.:,. <br /> El 'NON-RCRA HAZARdOUS WASTE,'UQUID'(U5 D'.,0117MIXE0,01L-8),VAM C;0P ��;' , -';: - •-: <br /> "NO PLACARDS REQUIRED' <br /> C' NON-RCRA HAZARDOUS WASTE;UQUID(ETHYLENE'GLYCOUSOLUTIONS)'3TATE COOS :rs•; J+,_ <br /> "NO PLIACAF3DS t7R MRIiKINGS REQIJIREa' - ` - NEXT SEFlVIG BATE <br /> ❑:„OTHER DRUMS � DRUM SIzF. <br /> MANIFEST NO: 1UO.QF GALLONS <br /> DRIVER._ hit. tM r� TRUCK NO..&RT,_ <br /> ❑ :USED'OILAND GASOLINE FILTERS <br /> ❑ BIG SKY ENTERPRISES, 401 West Channel Rd.,Benicia;CA 94510-CAL 000301639. 1-510-541=2128 <br /> ❑ GLOBAL MATERIAL MANAGEMENT,.•1640-:N.Broadway Ave:;Stockton;CA 95205 CAL000417316 1.81,8-770-2577 <br /> '❑ SA RECYCLING, 33210 Western Avenue,Union,City,CA,94587 1-510-487-9277 <br /> YUMA YES LLC„ 2730'E.13th Street;Yuma,AZ 85395.AZR000515924 1-928-643-89.38 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES-2649 Scot Avenue-.Chico,CA45928•CAL00082784.1 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO 11,LLC-.1518 W.5th St.,Chico,CA 95928►CAD980694103•(800)733- 3 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA-200 Dinsmare Dt,Fortuna,CA 95540•CAL930256136-•(800)733-904 <br /> ❑ BAKERSFIELD TRANSFER INC. ■162D E.Brundage Ln. Bakersfield,CA-93307-CAL000282598►(661)377-0308 <br /> ❑ 01K DIXON-7300 Clievron Way•Dixon,CA 95620■CAT040012602•(707)693-6008 <br /> ❑ DEMENNO7KERDOON-2000 N,Alnrneda.Streel-Campton:CA 90222-CAT060013352-(310)537-7100 <br /> ❑ EVERGREEN ENV,■4139 N.Valenfine Ave.-Fresno,CA 93722-CAD982446882-(510)795-•1400 <br /> ❑ RAMOS ENWRONMENTAL- 1515 S.River Road W.Sacrarpentb,CA 95691 ■CA0044003556-(916)371-5717 <br /> ❑ WORLD OIL-SAN JOAQUIN,LLC-1,1287 E.Manning.Ave.-Parller,•CA 93648-CAL000102751 *(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE' This is to cerl fy Ihat above named articles are¢rnl7erly Classified,'dbkrIbed.pukaped,marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNOIKERDOON THE and luhClCd, a pro r.CErld0an for lranspol%lxrr,SCCarding la 01e-app[icaft requlalions of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Dcparlm of atiQn. <br /> '1 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 THATTHE WtSTE DOES NOT CONTAIN ANY PC.B'S,. TORE DATE <br /> "I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES,'•QR <br /> CONTAINS ANY P.C.13'S, Pniratnrnr.sC <br />