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FOR SERVICE CALL: SERVICE ORDER ) - )
<br /> I E. DFFICE ASBURY ENVIRONMENTAL SERVICES,DBA FORM NO WOE
<br /> S S
<br /> tsoo-Yr,aeTA
<br /> hill.
<br /> Fo , WORLD OIL SERVICE PEP BOYS CALIFORNIA STORES
<br /> METAL AND NON-METAL(INCLUDING SMART
<br /> WASHER/OZZY FILTERS)FILTER DRUM LABELING
<br /> i RA NSFORTER EPA n oADD2922n006 Each store will he/lar born delivered two 55-gallon steel drums.Metal Rlten and
<br /> (cartridge)filters must be.stored in separate drum(NOT MIXED) Paper
<br /> per PA DT"C
<br /> rcquir cots.Mi%ed drums have to he shipped ax California Non-RC'RA b,,huzarduux wane
<br /> CUETOfUER x
<br /> greater e.t.
<br /> PURCHASE OgDER a ROUTE p TRUCK a al signiReanlly
<br /> CONTACT NAME ORDER TAKEN BV -HALIDES
<br /> DATEREOUIREn E%r SERVICEOATE
<br /> CUSTOMER EPA. .aL OILAgH0.Ma4,-rESTr METAL FILTERS:Metal drained oil/fuel filters for recycling.Drums
<br /> PART^ oesw�IPTIOH - C. I�• provided by vendor with the following labels:
<br /> --- - ,
<br /> OTY UNIT PRICE OTY TOTAL PN
<br /> yC Q DRAINED USED
<br /> OIL-FILTERS
<br /> RIO Paper -
<br /> AL INFORMA Filters
<br /> TOTAL ....
<br /> :. CH=CKF I
<br /> NON-gCRA HAZpgDOUS WASTE.LIOUIC�u;,,:u %ED OILS) TION -
<br /> NONgCRA HAZAgDOUS WgSTE,LpU10(ETHYLENE GLYCOL SOLUTIONS) STATE COD,
<br /> L�AA
<br /> STATE CODE
<br /> q"gTErsNON-METAL FILTERS AND USED OZZYFILTERS SHOULD
<br /> ALSO BE PLACED,IN THE PAPER FILTER DRUM:Non-Metal
<br /> r. paper cartridge filters/California Non-RCRA hazardous waste solid.Drums
<br /> provided by Vendor with the following labels:
<br /> a u `^ r. -ENEPATOR WASTE CERTIFICATION(PLEASE
<br /> CHECK THE APPRpp
<br /> ��n... ,,,r(M oil �thlMM3tar MUST
<br /> check ONE of the following three box")
<br /> E53 _
<br /> " ,...... ,""„",^^' .�.. •.Sae-:w,.cax.rea,n.�aaaP„..a..�.aP.,s.-.., .
<br /> '9N-METAL FILTERS -
<br /> 1 I _
<br /> • �.Pwa qe 1,29en1 w,b
<br /> (femd Iv
<br /> _ KMA00 r tr4'f lE+senr Lbw.oe `�'kawrr�
<br /> FORBERYICE CALLSERVICE C1RDEfl
<br /> : riY16�YYi"R
<br /> DIXON OFFICE f�seap.'-,eleeGAvaee
<br /> -900)2].26)9 ASBURY ENVIRONMENTAL SERVICES.DBA +sw�1
<br /> R ACCOUNT1NG CALL
<br /> 25,-,ESD WORLD OIL
<br /> .1 .L LSEZA ,.
<br /> 71 ,. , "o'
<br /> SDA2 9 a.P.
<br /> WwW.WOISLDOILCOR,..C.M
<br /> .. - TRANSPORTER EPA p CAD028277036 E
<br /> >mrm�^v+s a'.m S+mS b-e xa.:,-[•eaei - - .
<br /> CUSTOMER a PURCHASE ORDER p ROUTE a TRUCK r •eery
<br /> CONTACT NAME ORDER TAKEN aY �w
<br /> DATE REOUIREO DgiE ENTERED NEXT SERVICE DATE
<br /> CUSTOMER EPA,
<br /> PART A DESCRIPTION -- - -
<br /> -- j_OTv UNIT PRICE CITY P'D
<br /> C RECD:-. CK CME ---_- -_------�—_ —L TOTAL
<br /> e_ >
<br /> NON-gC:gq HAZARDOUS WASTE,LIQUID ID$WASOTE DISYPOSAL NFORMATION
<br /> E NON-gCgA HAZARDOUS WASTE,LDDID(ETHYL ENEr:%LFCDOO_LSOUT ONS) STATE CODE 221
<br /> OTHER
<br /> ,
<br /> �
<br /> STATE CODE
<br /> :_.. r a.r.Pe'weaasaar
<br /> DESIDNATEO TSDF:
<br /> ALTERNgTE TSDF. �rx wamu,*Pve —
<br /> ❑r:.�aDx
<br /> DRUMS P:O. E-TY DRUMS: Oa rr y1 wmpA— '2•x r�+ge5
<br /> _ FACILITY: BSC XXXg
<br /> --- � • se,eaa
<br /> GENERATOR WASTE CERTIFICATION(PLEASE BOX)
<br /> ASE CHECK THE + roera..r .
<br /> (WWaae�oilgeenerator/customer MUST Check ONE of thef4� err' w.
<br /> Iollowing three boxes ,x aN.nw
<br /> P°:°`..,.:"rl«,.""ww;.'«°'.«.�.I�.::.:.:�er.::.::N«N..�.«,«..,,.,,�..,, .r,..�. .�. ) i i,N fxl,.o„TaA�,,,rw ❑� ❑
<br /> ❑asap. ❑P.xa R.«>s. ❑R.n,...
<br /> `a N.wl Na,.w.,�
<br /> .,.b.,.«,.,,..«s,..... rll
<br /> Rena„«h p- ssnaro,
<br /> (AIL generators/ sl mer.MUST read the following text S{ �
<br /> n �'ewa.'u..xeemaw,v+,eee.�+wwemel fu,aolx '
<br /> ever
<br /> ( maw-'oaahc.+oaPo.v c«Km,a
<br /> u.,�m..,S9neture
<br /> 2
<br /> Date
<br /> Driver Slanetwe Dale
<br /> It
<br /> Nnl Name / .. -1tJ --_.__ - _ 1e.l,
<br /> _ print Driver Name
<br /> l •'
<br /> r bibillli,6—_-' .___ ....__-- -...
<br />
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