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old �orrc�� <br /> FORM NO.AES003 <br /> SERVICE ORDER <br /> No. N 575140 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 ❑ (310)886-3400 <br /> SAN DIEGO O FICE NORTHERN CALIFORNIA <br /> 1-800-748-57 4 EPACAD028277036 1-800-727-2879 <br /> f <br /> DATE •���, � :'` ONE TIME PICKUP OYES or,[TNO <br /> s <br /> CUSTOMER !_. i' r;• RESIDENCE ❑YES nvp"NO <br /> BILLING ADDRESS / d--' %' '��'E+� .� CONTRACT CUSTOMER,.-j7)/YES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> _ SERVICE ORDER <br /> PHONE YT`c!� I/f CONTACT f"Jf/'..✓�,f CUSTOMER NUMBER <br /> 'CUSTOMER EPA# - / ` . AMOUNT <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> CROSS STREETS E CASH RECEIVED <br /> r47 is (AMOUNT) <br /> pTES: .c� COMMODITY iii} r <br /> vA? _. HALIDES P.P.M. <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIX )01L b'A E CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> 0 NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLE i:yCJJ t/sOLUTIONS)STATE CODE 133 <br /> *NO PLACARDS OR MARKINGS RE UIRED* ((�� NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. %r! 1- ''!1 'i r� j f" NO.OF GALLONS • <br /> DRIVER fit_ < /> - .%r ._.... ._.. ,,,� ....-._. _}r`'- TRUCK NO.&FIT — <br /> ❑ NONHAZARDOUS DRAINED USED, IL FILTER <br /> D COMMERCIAL FILTER RECYCLING, 210 Western Avenue,Union City,CA,510.487-9277 <br /> ❑ ALTERNATE_FACILITY <br /> DESIGNATED TSDF: ❑ ALVISO INDEPrNDENT OIL-5002 Archer Street•Alviso,CA 95502•CAL000161743•(510)476-1740 <br /> ElBAYSIDE OIL Ik INC.•210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(408)427-3778 <br /> ❑ EVERGREEN NV.•4139 N-Valentine Ave.•Fresno,CA 93722•(510)795-4400 <br /> ❑ _DEM <br /> ENNO/KE -OON•2000 N,Alameda Street•Compton;CA 90222•CAT080013352•(310)537-7100 <br /> ❑ DIK.DUCON.•7 _Chevron Way.Dixon,CA 95620•CAT080012602•(707)693-60.08 <br /> C3` ROOS E ENTAL.1515 S.River Road •W.Sacramento,CA 95691•CAPW003556 .(916)371-5747 <br /> 0 ASBURY ENVI NMENTAL SERVICES•2549 Scott Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ALTERNATE F ILITY <br /> D OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified,described,packaged, marked <br /> 'YCLED AT OUR SISTER COMPANY DE ENNO/KERDOON THE and labeled,and are In proper condition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Tr sportaticri. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXEDHIS WASTE WITH ANYti <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY .0.6'S.. CUSTOMERSIGNATUREDATE <br /> i + <br /> *1 FURTHER AGREE TO ACCEPT THE ADOITIONA CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.T.TOTAL,HALIDES,OR <br /> CONTAINS'ANY RC.B'S. PRINT NAME <br /> i y., <br />