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<br /> SERVICE ORDER
<br /> R SERVICE cAI_L SERVICE ORDER N 00
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<br /> N
<br /> OY
<br /> C6
<br /> ASUURY ENVIRONMENTAL SERVICES }
<br /> 1300 SOUTH SANTA FE.COMPTON CA 90221 O
<br /> N1-310.886-3400
<br /> TRANSPORTER EPA 0 CAD028277036 O
<br /> ^ 1Z
<br /> L0 a-
<br /> (m
<br /> ORDER TAKEN BY HAL1D1nS
<br /> CUSTOMER N' PURCHASE ORDER 9 ROUTE# TRUCK CONTACT NAME O
<br /> CnUMANIFEST 8 =
<br /> •• DATE REQUIRED PATE ENTERED NEXT SERVICE DATE CUSTOMER EPA N
<br /> QTY UNIT PRICE QTY PIU TOTAL
<br /> O PART DESCRIPTION Cu
<br /> _ .0
<br /> q -
<br /> O
<br /> L
<br /> TOTAL Y
<br /> E �; i — _,I-- PA'; r=�,';;�1 HIS SEF'Jp F_ ORDER 00
<br /> ;SH REC'D. CHECK -'' N
<br /> ^, WASTE DISPOSAL INFORMATION 00
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED DIUMIXED OILS)'NO PLACARDS REQUIRED- STATE CODE
<br /> 'NO PLACARDS REQUIRED' STATE CODE �N
<br /> NON-RCRA HAZARDOUS WASTE.LIQUID(ETWL6JI, 00
<br /> O OTHER: __ -
<br /> DESIGNATED TSDF: O
<br /> Ile ALTERNATE TSDF: '-'
<br /> SA RECYCLING: 33210 Western Avenue,Union City,CA 94587 1-510A87-9277
<br /> q DRUMS PIU. EMPTY DRUMS: FACILITY: BSC
<br /> GENERATOR WASTE CERTIFICATION — — —v
<br /> PLEASE CHECK THE APPROPRIATE BOX
<br /> O C
<br /> This 'op.rty cleaxd,.d,daac rrUtta,pacxagtd,mamod and Isb.led.rnd b In Plage,condlUan fat frena;�.� s1r1i0 c.akrle Ste• ,� ~-
<br /> Oand/.der.l,ryvlaaona.8y tlgning b.1w I also hr,.hy I.-Uty ihec ..
<br /> ' ^ (Waste oil generator/customer MUST check ONE of the following three boxes) C
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<br /> (Aft generators;customers MUST read the following text and checlk the a-- *w' Cu
<br /> L�� .)->WE u :: _I,per .a4x.,:.•,Ir Nn 1 na.x a t�;'yr.. n plac rasucr tM ro!un„,nn m,FC,Uy oil naa,a iyanerslx,;.,Inn dag,rralla+•w Q
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<br /> CtnatorneySignature
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