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FORM NO,AES003 <br /> _ SERVICE ORDER ' <br /> No. N 6.07664 <br /> ASBURYENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE a COMPTON,CALIFORNIA 90221 ❑ (310)886-3400 <br /> SAN DIEGO Of FICE NORTHERN CAUFORNA <br /> 1-800-748-574 t EPA CAD028277036 1-800-727-ZB79 <br /> DATE v —G-2 ONETIME PICK UP ❑YES or ❑NO <br /> CUSTOMER D �e, L RESIDENCE ❑ YES or p NO <br /> •3 <br /> BILL •. ,/_ ;:= . •. .• ,. <br /> L'f? n Yl.i? ;CONTRACT CUSTOMER ING ADDRESS R ❑YES or ❑NO <br /> C C cjT1 �� PLEASE,PAY FROM THIS <br /> �j L z SERVICE'ORDER. . <br /> PHONED(-7 �J r lj�r CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA# , AMOUNT. :. <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O. UMBERS 6�D k'7 C- <br /> CROSS.STREETS CASH RECEIVED' <br /> (AMOUNT) <br /> )OTES: Z COMMODITY <br /> HALIDES P.P.M:, <br /> r.(•'. <br /> ❑ NON-RCRA HAZARDOUS WASTE, QUID(USED OIL/MIXED OILS)STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> O NON-RCRA HAZARDOUS WASTE, QUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 133 <br /> *NO PLACARDS OR MARKINGS RE UIRED* NEXT SERVICE DATE <br /> -❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVEL- 'TRUCK NO.&RT. .- <br /> NON HAZARDOUS D AINED USED ILFILTE <br /> /❑' COMMERCIAL FILTER R astern Avenue,Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY___ <br /> DESIGNATED TSDF: ❑ ALVISO IND ENDENT OIL-8002 Archer Street•Alviso,CA 95502•CAL000161.743•(610)476-1740 <br /> ❑ BAYSIDE OIL 1,INC.-210 Encinal Street•Santa Cruz,CA 95060.•CAD088838222•(408)427-3778 <br /> ❑ EVERGREEN NV.•4139 N.Valent ine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4460 <br /> ❑ DEMENNO/KE DOON•2000 N.Alameda Street-Compton:CA 90222•CAT080013352•(310)537-7100 <br /> ❑ D!K DIXON•7 00 Chevron Way.Dkon,CA 95620.CAT08M 2602'*(707)693-6008 <br /> ❑ .RAMOS ENVIR ENTAL.1515 S.River Road •W.Sacramento, CA.95681.CAD044003556 (916)371-5747 <br /> ❑ ASBURY ENV( ONMENTAL SERVICES 2549 Scott Avenue•Chico,CA:95926 CAL000827844 <br /> ❑. ALTERNATE F CIL1 FY <br /> //L�SD OIL,USED ANTIFREEZE AND OILY WATE I WASTE STREAMS ARE This Is to certify that the above named articles are properly classified,described,packaged,marked <br /> zA4 ECYCLEO AT OUR SISTER COMPANY DEI AENNOIKERDOON THE and labeled,and are in proper condition for transportation;according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WE STERN UNITED STATES.. the Department of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED. HIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 PPM. X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANN P.C.B'S.. - c;37MER 101ATORE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITION L CHARGES FOR LEGAL <br /> DISPOSAL IF-THIS WASTE IS OVER 1000 PP. .TOTAL HALIDES, OR <br /> CONTAINS ANY P,C.B'S, jFRINI NAME <br />