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� I 7 SERVICE ORDER ER1'II��ALL: PER► -' "' ASBURY ENVIRONMENTAL SERVICES, DSA"' FORM NO.WOES004-D (1/17) 559 48rfl24P WO 650 k SERVICE ORDER NO. FOR ACCOUN77NG CALL: : r 562-231'-1550 WQL71Y 0 i . z i.r,•d I;t_ f 82557811 AF 125 WORLD OIL _ - ENVIRONMENTAL SERVICES,. s j STOC".KTON DOQGEINC'+ 14287 EAST MANNING AVE,PARLIER CA 93648 1-559-498-0240 P 3 AUTO CENTER CIRCLE WWWVVORLDOILCORP.COM PC BOX 8009 E D STOCKTON,CA 95212 TRANSPORTER EPA#CAD028277036 STOCK ON, CA 95208 0'' (208)477.36W (200) 477-38M CUSTQ,MER PURCHASE ORDER# . ROUTE# TRUCK# CONTACT NAME ORDERTAKEN BY HALIDES ST'0927 SER-86 KC avelanua DATE-REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# BILL of LADING/MANIFEST JT## 4112/2018.; CAD9819871380 11 D� L Z i j PA`FiT#' ..,DESCRIPTION QTY UNIT PRICE QTY P/U TOTAL BRAKE BRAKE LATHE SHAVINGS PER DRUM 1 $200.00 � $200.00 ALSOATI ED FEXTFt4 LeaELS FOR MIXED FUEI- OtY 6OLIDS' BATpi+ft f Cho ii S'I eebt:CAK Signature 11'0111 ti TOTAL CASH REC'a:- � <HECK-# - A►xzxalt-Q0= r Steve Gat* WASTE OSSPOSAL INFORMATIClIV NON-RCRA.HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS) STATE C0%0 '2Z3. :yy NbN-RCRA HAZARDOUS WASTE,LIQUI TN•YLEN) GLYCOt'SDLi1TIDN§) STATE C00E DESIGNATED TS[3Fc ALTERNATETSDR DRUMS P/U: i EMPTY DRIUMS: FACILITY: GENERATOR WASTE CERTIFICATION(PEEKSE CHECKTHE APPROPRIATE$OX) Uy signlrtq below I hrrrby CM tify IttaL (Waste ail generator/Customer MUST check ONE of the followIng three boxes) fIII 1j 1 have nat mlxrd nnyalihauiasle'drscrlbvd above with any,aslter hazatOutisw.mit%the!Peal halide content is LESS than 1,M ppm,an,$the wAsledoei not totttaineM1y Kg-.I hwe compiled with the requirements of }hnappllCahle caiifpenlz used oil management regulations tadoermine shtr is true-I mper to aeccpi the addirionni chorpes forihr disposal of this write dittednformatlon I haveproaided about this wane Is incorrect C`7+71have not misrrd arty of the wdmv descrlbed ibauewilh any other hazanlam waste,this total halide content isGREATEit th n 1—AM ppm,and the waste does not contain any PCB,..I ,r hihveRrgvldGd prpprl dbCtunepraLknstoY/oflJ bll Ehvirunit+thiol Srn'vl[es.rorehut the ptnsamptlon gvuhh.wustc rraimlxetf with oUlcrhuardp�irraCtelagtle N�CCCpl llseadQtidnalchargr�s far the disposal o(.thls,• r•HitHe If the infbtrruilionl tlP\c pfoivdded silo ul this waslC iv ln[arrpGl - . 17--]e3lT RwasteisGomatankwhlchcellenswasteaIlrtomh6uv.4idd'dorinyouaclf'(DIYIacid/or[ondllionallyexcmpt5mallquantiiygearatsij(CESDG)'swlr45.7Dthebestofmyknowledge,thetrulywasteoll'conlalned In lny DIY)CESQG colfection tank is}aley frprn DIYand(or CESQG idwC6-r have not'msxed chis-Waste oil vrith anyothei hazardous twime or waste oil(roto other%06eces.l agreo to uCCpt rhe additional chav3cs for dltpwal of this waste if the infurmaliun I have prrivlded about this waste Is Incorrect (All generators/customers MUST read the fallowing text and check-the associated box.) edi t;tom d IarcJegvanlilygenitrator,I ceriity that I have a program inlob"Its teduce the vplunte and toxlchy of wsstegenerated to elm&girtr I kavc determined to be recon—"lv practicable and that I have tc trdlhe prgokable method of trcatmeni;')1mogr.or dhpowl curtL mly avail,bTe Its lne wilkh mirtgmlcs L,10 pru u`et and future threat rt,humpti lufu and the envori s�Gnt Or,in am a small quantity generator,l h4e made a good fallh rl fort to ml nlmize my watts gpneraut rs and itnect ihp best waste manigcvnenl method that zsavailable to me that I can afford. ' This Individual sigrdn9 in the space set forth bckm on lachatf 41 cotminer rr,•ptosenik and warrants that henheh3t the mut horny io bind Cuttamn,that tire refoorg des crlpIIon s of waste and macer is is arc trlit•'and DyWrn to .15 pac7 t cdApakQdund labeled,are ready for lratscpayrlton In Arewdnncc sNsh yppltcnblsalalsand fnde,al royulatinn�nntfihm Custonwr slmuabldeand bound by the Standard Terms and Condliamdnthe�p Mvc IS01 vkr Oder. ] Cu on er nat Date Driver Sig ter l) Print Name Print Drivers Name