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y <br /> FORM NO . AES003 <br /> = <br /> SERVICE ORDER <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S . SANTA FE AVENUE ❑ COMPTON , CALIFORNIA 90221 ❑ ( 310 ) 886-3400 <br /> EPA# CAD028277036 <br /> DIXON UNION CITY CHICO FRESNO <br /> 800-727-2879 888-603-8844 800-733-9043 866-994-6937 <br /> DATE t ? ONETIME PICK UP ❑ YES or ❑ NO <br /> CUSTOMER , �` RESIDENCE ❑ YES or El NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NO <br /> PHONE ,` CONTACT CUSTOMER"NUMBER ff <br /> CUSTOMER EPA# _ (. < '" " <br /> � . ��� a, � - �4 �, m - . P', , � AMOUNT <br /> JOB SITE ADDRESS - w . . .i `'.. . _ CHECK NUMBER <br /> P. O. NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES COMMODITY <br /> HALIDES P. P. M . <br /> D. NOWRCRA HAZARDOUS WASTE, LIQUID (USED OILIWXED OILS) STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ . NOWIRCRA HAZARDOUS-WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ . OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. . . , ,: xN 7 NO. OF GALLONS <br /> _ 7 <br /> DRIVER TRUCK- NO. & RT. <br /> a <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ SA RECYCLING, 33210 Western Avenue, Union City, CA 94587 1 -510-487-9277 <br /> ❑ ALTERNATE FACILrTY <br /> DESIGNATEDTSDF; ❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scot Avenue } Chico , CA 95928 • CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL. SERVICES-CHICO 11 , LLC • 1618 W. 5th St. , Chico, CA 95928 • CAD980694103 • (800) 733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA • 200 Dinsmore Dr. , Fortuna, CA 95540 • CAL930256136 • (800) 733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. • 1620 E. Brundagetn. • Bakersfield, CA 93307 • CAL000282598 • (661 ) 37749308 <br /> [ : ..D/K DIXON • 7300 Chevron Way • Dixon, CA 95620 • CAT080012602 • (707) 693-6008 <br /> G DEMENNO/KERDOON • 2000 N . Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100 <br /> p EVERGREEN ENV. • 4139 N . Valentine Ave. • Fresno, CA 93722 • CAD982446882 • (510) 7954400 , <br /> ❑ RAMOS ENVIRONMENTAL • -1515 S. River ' Road • W. Sacramento, CA 95691 '• CAD044003556 • (916) 371 -5747 <br /> ❑ WORLD OIL-SAN JOAQUIN, LLC • 14287 E. Manning Ave. 9 Parlier, CA 93648 • CAL000102751 • (559) 498-0240 <br /> ALTERNATE FACILITY <br /> USED On. USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified, described , packaged , marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and are in proper .condition for transportation , according to the applicable regulations of <br /> LARGEST RECYdLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation . <br /> « <br /> 2 12 .9 v �e�err�N tet. 1 AT , 4 ., n. ff � • 1^. ♦ •t VCM . 1 I . . • ,w � .fair, , AX ,%i " s'. <br />