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F L . IEFi <br /> ILL ASBURY ENVIRONMENTAL SERVICE ' Drtr� <br /> ti . r <br /> WORLD OIL <br /> " + '• W. Wt ) r OOILCORRCO : ' <br /> TRANSPORTER EPA . CA0028 . <br /> CUSTOMER v PURCHASE ORDER t ROUTE : I TRUCK s CONTACT HgME ORDER TAKEN 8Y HALI <br /> I <br /> BATE REDUIRED DATE ENTERED NEXT SERVICE DATE CUST0VER EPA e i gg1 pI <br /> PART It DESCRlFT Or' OTY UNIT PRICE OTY P:'U TOTAtc . <br /> CASH RECD: _ I TOTAL <br /> CHECK <br /> WASTE DISPOSAL INFORMATION <br /> NON,,RCRA HAZARDOUS WASTE . LIOUID (USED OILJTAIXED OILS) STATE CODE 22i <br /> MILLIE NON-RCRA HAZARDOUS IWASII LIOUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br /> C'THER: <br /> DESIGNATED TSOF : - - - <br /> ALTERNATE TSDF : — - - - <br /> DRUMS PN: EMPTY DRUMS : FACILITY , BSC <br /> GENERATOR WASTE CERTIFICA.TIOt; ( PLEASE CHECK THE APPROPRIATE BOX ) <br /> ( Waste oil gFner � lor ^ ura ; , nr. , rt lcT r ; i c ! : ! u ! " iii : lip 1 1 + wing three poxes ) <br /> L _ <br /> /Ir rvo.affff VaP' aoco�rot9 iM1ir.I ha Lr.... o+ r�. _ - _ w1� �arw Y �� !" p qpw �, ►_M <br /> UWPS W " *W( d Ra nrfrr a my raf>amr. pip low l�d� Emma 1 �� a ati� Mr Var.�vs <br /> I <br /> X 11 tow 004 <br /> tr l�/r l ttN QTS. OE1CIr NYS t. •r--� . �t M-'. <br /> 111r - e r <br /> - Ni W acmew o w Tf fY'tt cftw , r✓.s_![.n _. V d st <br /> +JM fIa• rfYi 1 fp'w b oW >4 rbCXa' cry i i i ral�rdt� � +1! ff��� �f ar vrri aH ' <br /> .� 1J 63,te rl� <br /> (All generators/ customers rAUS I LjCi <br /> 1 firj '�+I' . M • poy"r4 'v alrc� fp ,ASA A .arty r.o p.oft d �rrM yMw.oVY to 7s .hpv � . - . <br /> f�flCbir aA+pp t/ Jrl{)rrff, �.Ir� d 4yeai Mbn 1-a ft M Nmh oepi a mew eZrwV vi C <br /> Ts a�war< .y..7 w er r,fors w fefflf �� RrM/ of � mpr fr'f0 o ow"w r r.. r _ , <br /> M dw )arra 111 a req �s an.��� am l "Ift � ~ �orfY�on or yrar�r .'.n ., �- _ . <br /> ffrfsrPsr am ft roc4trb yfrWca :w it <br /> afr. .rw,ff.. �syrf• tu.r.4rrfworM � �helfr� ryp �w+rrrffrayp� ., l�+� fi'7 ...a.o ' <br /> 6 <br />