r ,FOr1 aEF'YICE CALU A .,I i ii:I r1R�
<br /> ,., ,'...:... SDugv AI..._R ICES OBA •. -
<br /> NMENT �E V
<br /> 2WORLD OIL
<br /> 09 aBM1Q315 � OaO.I IER9NEE IAIEE '
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<br /> - Y-TEM IVr:----
<br /> ' rowwre 4,un.9 --e�,ree, � I
<br /> 27]DEI N,I, �E LPgo -
<br /> YUNp a -
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<br /> v DTNAII REPL.A¢Me1J7 NI(� UNIT PRICE QTY pN
<br /> ANDGASr C]1AROF TOTAL
<br /> I U,_,,NC`II RS tt
<br /> 1
<br /> OW TOTK"'X(it! I Xlr4 Ih T
<br /> I+rxNIA-930D WOE-iERMINa C
<br /> TOTAL
<br /> RS011ALPRJifCTIVE LVU PMENT Ni�- rl JRItiC;:NH$PE", - .RM u„'. r
<br /> WASTE LIOUIDIUSEDOUM1XE.11SDISPOSAL INFOflMATION
<br /> rs 'OwbrnElMnnl,rngM ��S ISP I�A� WASTE
<br /> LIQUID NE GLYCOL SOLUTIONS)
<br /> 5 -snPgrvenbnbe�aFOT rtyyAb �IM' mraNNeWueMMwxwsnyMyrerrt.wa naueYl.aA4a EMla
<br /> S ATE COOS 111
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<br /> „a nloc wmme"W regub mns.eym
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<br /> T am I �ENrellmm u.s. uyev GENERA 8Sc
<br /> TORWASTE CERTIFICATION(PLEASE CHECK —
<br /> Tw. rN,Prerea THE APPROPRIATE BOX)
<br /> .`(MGsh oil
<br /> / T0ttroeN1 5Tcheck O�NEPoofthe following three 6oxesl
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<br /> DESIGNATED FACILITY TO GO—'
<br /> CALL
<br /> ASBUgYE SERVICE ORDER
<br /> WO no MENTAL SERVICES,DBA
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<br /> 2� ;a' _ boa,<=^Pam 017792026 JJK
<br /> WORLD OIL _-.,, ...M......«,
<br /> !LO.'
<br /> SOYS:tlp5e2 ENVIRONMENTAL SERVIC {SOUTH FAST MAVMNc av ES.. oma/1 CHEROKEE E,PANIIkx CAvw<a 2Rs ass ours NI UTHI EROnEF.LAryLANE 7f�f�I�-,w,,neo,CA 95240 ��ET' THEEC GROUP cnrmNM[nrAL STnv9850135 MNSPORTERFpp,I CAppxa2P>oa5 201E ORCHARD ST ' wor-T muwlaE Rccov¢m—Cm
<br /> cuSTOMER° HAMMONi
<br /> E".;'C"ASEEP1 ROUTE. ONNJ OB03T '.'.••• C R„PSaA Txuc (E0013a50 aT � swos TSA 32J LOUORDERiplo,;I AZA 000515924
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<br /> OFOR OIL FILTER D O M
<br /> OF USED METAL a IMµLp A�NIN E ILT�ER�SAROE QTY UN"OF "P/JI TOTAL
<br /> fl4iCn I
<br /> C StraeN:O T
<br /> /8 ]
<br /> ONRCFAHAZA ApmwR MRM TOTAL �3 d 'vMER3ENCY COMACT:CHEMTREC R8"p L9JO MMTERMINpL CERE-CS •PgOFlLEY9B1:161SmftP A
<br /> NON-RC'M Hg1AR ra WAS WASTE DISPOSAL INfOgMAI ION SRaW p4 E PPE FlLTERS'eAPPROPR1AIE pERWhm MTECTNE EQUIPMEM ✓C!-
<br /> 000S wpS 7E WUID N51:D01UMgED 01L51
<br /> OTHER Tep, . TE QUIP(EttIYLENE GLYCOL SOL1rTIONS) +�1.
<br /> DTENNAiEp ISpK-'- —I
<br /> NA.rovcCT.mu,ntll AMS urb�a^'M°sT+ wewppe,.gyyy,yylywCe4,paugy
<br /> nLTERNATET DF_ W� n' BtRLTERSCITNT STATECODF321 rr ErvnN,I Woem ew n..ewHmAVa.enou rMmu Emo-rnwamPAvxax
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<br /> TE CERTIN(PLEA
<br /> nCATIO FAQLITM M1ws�^ aay+auwr oWswPEu.s:
<br /> SE CHECKTHE APPROP r smTsna
<br /> Me"p'yMn= (W ste Oil RIATE BOX)
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<br /> mese taee (All generator, mw.,«wl.,..,..o��•r,.�:W..,».n.n.,n .,n FrMN..: us
<br /> s/cutomen-,MUSTTead the tollowin retex �o�n.,,n,. "'^«,�„m.ma,".,,�•"" r"' aNmarE4aWInE.,ery, Re.,
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<br /> - DriE.S�g lur — — _. Ei�Av omarb.
<br /> Dale DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)
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