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SERVICE CALL: <br /> -;P(ON OFFICE <br /> FORMA NO.AES004-8(REM 10/07) <br /> �ICEORDERP1CB. <br /> rt t "GF r 'G k <br /> 800-733-9043 <br /> ASBURYEWRONMENTAL SERVICES <br /> E,� N, 90221 <br /> " t- 1 <br /> x t , <br /> _ r <br /> �. <br /> r . <br /> 4 <br /> , <br /> s <br /> u s <br /> DAA E r F... , <br /> r. EAI# SFE i <br /> c <br /> u <br /> z e f a <br /> PART i f EC?�3"` Tlf UNIT PRICE C3 P1U' TOTBA ..ro <br /> g" <br /> 'Or <br /> CASH REC ii'D- '�ROM THIS SERVICE ORDER <br /> P _ E3i W STATE CODE 221 <br /> Pi M " 3 A REQUIRED- STATE CODE <br /> TE <br /> DESIGNATED <br /> ALTERNATE T <br /> SA RECYCLING: 33'210,Wes <br /> a to : ESR . my— � C; <br /> r <br /> R Mf�PROF-113ATE BOX <br /> 40 <br /> This is to certify that thew ie metre is cam' r i+dtal'bsr condioart fir transportation„a cokd#arg to appii b#e tete <br /> and federal re Iation& <br /> baa ff3y s`tgnssxa�b <br /> s. boxes) <br /> 0 a#9)i have not mixed any of the e # tt#are t, end ilsowvaate does not contain any P 43s;P have <br /> compiled waski the requirements o$ta ._It4s- S f� i 04to accept isd#itioaiai_cE)drqes for the disposal of tier waste <br /> if the isafoeessation t have-Tame . �t « R <br /> fT 2)€hare ratrt in, <br /> a of e ti J€: than 9, pp..and waste does not contain any PCBs.i <br /> have provided proper docs n ry tlt ' t w r hazardous waste.t agree to accept additional charges <br /> for the dissposal of this waste if the, �Y i have <br /> [)#3)This waste is from a sales &� w eit t �”' .;q <br /> $ yam¢ ttGanuty gsnoredor(fid G)sources,To best of my <br /> raowied E,iiia only waste i co ars,, my _ 0.shave onfini. this w of with,any other hazardous waste air <br /> ryas+€os&from others fres.9 t vta is' eect <br /> r� alta SSC.) <br /> �� D if a t e large quantity n of 3 cseY ihaS 8 hd5te ** t�,Na 4*10 g W'dted to the degree I hss_ determined to be economically <br /> P-nEEq:2:U:�" <br /> nra„bcahla and,hat I have selected prat' � � Rae`. .eqi ax to ch opresent -future threat to human life and <br /> t o r€r s<rss sv t,Or, <br /> if 4 am a w"it�entity esaseatrsrrf}sav�, a��d,fa ��ra�#� it#trte sett'� � n Asad select we Isnst wasf®n,aaa�w.eee:e nnemr a enex€m avaaeeas(e. <br /> 0,aw that ,m afford. - <br /> .. ` �. <br /> Customer inaar prat turej <br /> Date <br /> F <br />