Laserfiche WebLink
SERVICE ORDER <br /> FpFL$ERYIjVE CALL: <br /> PAFi'LIER ASBURY ENVIRONMENTAL S iVICES, DBA FORM NO.VJOES004-D (1/17) <br /> X98-0210 WGA 6550 ;:.. ._ SERVICE OP,D£R N0. ` <br /> FOR ACCOUNTING CALL: V4fQDlY O <br /> F 562-231=1550 N2545535 <br /> AF 125 <br /> WORLD OIL <br /> ENVIRONMENTAL SERVICESI. <br /> rf STC]CKTON DODGE INC:' 14287 EAST MANNIVG AVE,PARLIER CA 93645 <br /> p 3333 AUTO CENTER CIRCLE 1X59-498-0240 PO BOX 8009 <br /> p v,WW.WORM0ILCOfaRC0IVI <br /> E <br /> D <br /> STOCKTON',CA 95212 TRANSPORTER EPA#CAD028277036 SiOCKTON,CA 95208 <br /> o (209)477-$688 (209]477-4M <br /> W$TOME�1t. PURCHASE ORDER# ROUTE# TRUC # CONTACT NAME ORDER TAKEN BY HALIDES <br /> •Sro827 CER-8e KC alvelwpez <br /> IDATE REQUIRED DATE ENTERED NEXT SERVICE DATE 'CUSTOMER EPA>✓ SILL of LADINGIMANIFEST.0 <br /> 3E2312018 CL819A7e60 <br /> PART# DESCRIPTION QTY UNIT PRICE QTY P/U TOTAL <br /> - � $0.00. <br /> Qr . ,tUSEO,METAL OIL AND C3A5Ctii IfVE FILTERS. <br /> BATCH st <br /> Cto sa St votw Cot signature ftm Caiy. <br /> TOTAL <br /> CASH REC'Dc CHECK f1-. fRtl�sk.�dirtfglr .5leV� :. <br /> ` WASTE DISPOSA!`kIVFORlb1RTION <br /> : ., :. I <br /> NON•RCRA HAZARDOUS WASTE.LIQUID(USED ORJMIXED OILS) STATE COBDE 221 <br /> NoN-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE 'r r <br /> -cmi R. NON-=fAWR[OUS WAS,SLfD FILTERS CONTAINING OIL[STATE.00 -223.•.-; <br /> 'bESIGNATEDt' br':- .... <br /> 1��41�14�'�$-lr��-�Q--L�•13T1d-5F Y!.#!�-R�r-BL'"►'J9lCrB�•88r1•��883�• —�' . . - <br /> ALTERNATI •CSDF- <br /> DRUM5 PILI EMPTY pRUMS: FACILITY! BSC <br /> GENERATORWAST�CERTIFICATION(PLEASE CHECK THE APPROI?RIAf •BOX) <br /> • fijr,sh3nlnq brlrvr 1lsrfabY rrnUy rlwt <br /> $` (Waste oil generator/customer MUST check ONE of the foilowing Lhree boxes). <br /> X11 tY i hawe not+ -¢darty ar tha tras[c des[nhcd abc aiwth any o1h9F haxnfdous Waite,!}ir lata[halWpcontent is L"S Shan I,Opp pprrOod She wasw llocy nos tant3 n any yCOs.!have r ompliCd wfsh snR7aqulrvmen[c of <br /> ihy applkahla Eallfcrttfaysnct oll mdrWJo-frrrnl trgulauon;to delrrmlrbe.this h srisc.l agree sa actep[[hn atldl[rrnaf charges.far the disposal of this waslc H'Ihn Inrarrnauon 1 have prwuict!abash(fit;was;a fi iruarrecs <br /> f=f7l hive nal rnsaod ah,atthe wastorkxtlhed abpvewiul any od m hetardodtwattr,the Into)handetcnlent isdlkkfRthan IAN ppm and the witte does notccnlain any['CBs.t <br /> �havepr"4ed propoi do¢lmen1afIPn toOOM Oki Far{Mnm*nlaf Services to m W1 the presupijt,tlon Ihal.tllliwaslewas ridfed'hilh*that hwAtif Sus wmiv.I.DMtpntopt the aklftn4)ch:q;a (of the&spooj to thh.- <br /> ikassa if the iofamtavo s I hAV*provided ibout lhls Wase ir,lruormet ..� . . <br /> E I3STIut waste 1s frart a flank whkh allecuwasit ailttaM h{,iremmpt smill'qudnlity�enermor ICEWA toartitLTo She butt of rw my.knn,vlydryv.she Mtlynuiilq-oli careterned <br /> In myDWIOC OG coklion tank 4 s�leyftoni m atpi c6oO ioir or0narip( svaste <br /> va rnlictl this all with any olhri hsiaWous waste at raaste oil fiam oilier mic-L I igiee t¢srfrpl tha aWdldsinal charges foi d.LiWai <br /> of this waste If the Whdrilation l have prDMed about Vv.y waste it lnsafrecI <br /> Ah (All generators/customers MUST read the following text and check the associated boxj <br /> f Ienutntktygenarator,tcertffythat 1havoc programin plaso ro reduce ft wlume and taaticlty of wa%itUrnrwted so she degree I havedafermined to bo rYwramlcaliy putliable and shat I have <br /> ercable method of ti carmem iImage,ordlspoial tixrcns}fawifahft to rr7'whlch minlrnlrat tib Iresrnt and futum tfucat to Wrian life aid the trrvlrenmMC.W,if I am a;nytll uarlu[yrrtcratorI <br /> made a pond toll effort 1 mintrni:e my wasiegkn4rral7on and smote the best wastenunagrriiens fii.'lllDrf that is avalloWe to me seat I can aHurd. - ' <br /> 7hh++ldlVfitu• rrNigrn Itis!spate sal rush balow entscluilf at Custtsmer rcptvivntr afid,varraiPh that hdshe has[he MAkontyto bimf Coiiot(mr,that the fmoning dev:oouons of waste and matnlals Me true and xcuixe <br /> as pack. m.ked aid lobated,are mady fw lfanspeftatken in arcordanca Wil h applteabEe sta is and fcdeml reguh6wix and that CuDlorncr shall ahhic and ba huund W the Standard krmt and Cu rwhtmns on the ravvrie <br /> CUStnmer Signature D.1I / Driver Signatureate <br /> 15 - <br /> Print Name Print Drivers Nam If , <br />