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�T <br /> PEPBOYS � PEPBOYS <br /> =AUTlf7= Public Waste Oil Identification Lo saurO— Public Waste Oil Identification Log <br /> AGGOPMbIo OII Vm.....U.....Mntorl... Motor°�plc Orl .• r..nl� <br /> MOInr U l .il;: i Pa nl K La NYtl O.I 8 <br /> lyif antic OI rquer Th nnere T n son{I�ir)� Nousenol0 Chp cats Gasoline <br /> I,inset seion 1=luios 1 l 8 Varnishes ingsolllne <br /> I lousohoId ChemlCal6 Gasoline Anti-Freeze <br /> AnliFreezo •Any combination/mix 01 unacceplabl.� <br /> •Any COmbinell0n/mixt'/un.i�i;pl;ihlr.in;itr:nalc with Ceplable oil <br /> ccepMbla oil Date of <br /> Date of oil Drop omplete Address Phone <br /> Oil Drop off Nairne/CVol/Gal <br /> Number <br /> Nairne/Complete Address Phone Number <br /> off Yol/Gal - y ]-- <br /> (jil)Il�' (S�^ <br /> -71 <br /> PlrZ <br /> 44 <br /> 7�,S <br /> -Jr bpi 3 �i <br /> s��z � -� I L - <br /> :17-22 �t/''3—T zOP-327 I 11 I <br /> !� S,g4 <br /> t�2� IJP-DA V1,; ZLq-'M e5 It n11Ck (� iuis hs�v6zT ;"erg <br /> c`(' lrk-bLC H�.PyI� 1>G 3` l /0/� S��' c-e/p✓yam 7j(,.y�e3 <br /> Q-1� , � X57 t I' 1� •vl•. 1, � �„ t <br /> ALT <br /> Store Name __-_-- _ p <br /> Store Name _ _._._-__._.....____ -_ n This log must remain on site for 3 YRS in enviromental tile. <br /> This log must remain on site for 3 YRS in enviromental file. <br /> s _ <br /> DIXON Orr,ce SERVICE ORDER <br /> PEPBOYS -80e-727 2819 ASBURY ENVIRONMENTAL SERVICES,DBA FORM i <br /> aurO— Public Waste Oil Identifica <br /> AGtion Log <br /> cePtamG oil .;WORLD OIL <br /> Unacceptable Materials <br /> S-V(:n� P.iint& N\'ri' "l`i '.l!•r <br /> - Pa n.s 8 V11-111, LaWirc TMrale.s I- <br /> i=pct cpptl <br /> ' �eln C .sl. Cesu ne <br /> Anb-Fieeie <br /> •Any comb.' mr�01 unacceptabir.malpnal�w <br /> ceplable mli on <br /> Date of <br /> Oil„op Nanne/Complete Address Phone noure•e _ <br /> Vol/Gal112 31, <br /> Number <br /> -327 3z <br /> 2a <br /> \� -TPRIG <br /> It I23 1�1 F-"���t -- pq.Z(.t) <br /> ti <br /> 1j��6h c.✓ol;na L� ,� 56a� - <br /> �L <br /> ".STEDISPOSAL INFORMA770N TOTAL <br /> olUMl%FOOLS) STATE CODE <br /> 13 <br /> o S han�2 rnPa�u � 2�� <br /> `ATE-a OX) <br /> 0-5X,Ch <br /> bnxeg) I' <br /> /ae. <br /> 0 <br /> 5 <br /> Iz � TOC TKIPf¢J Z <br /> I2A VrGr✓�r�t� ��c ni/r l .�. <br /> ...,•0.p .. <br /> .. Osla <br /> dote <br /> m�.,•�S�pnawre -—_ r <br /> his log must remain On site for 3 YRS in enviromental file. <br /> " Pr nt ur ver N,,,. <br />