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ASBURY ENVIRONMENTAL SERVICES,DBA FORM NO.WOES002-D (1/17) <br /> FOR SERVICE CALL: <br /> PARLIER 1 r. SERVICE ORDER <br /> 559-498-0240 <br /> FOP TING CALL: <br /> 562-231-1550 WORLD <br /> ORr D OIL No. N g p 8 214 4 <br /> ENVIRONMENTAL SERVICES.M <br /> 14287 EAST MANNING AVE D PARLIER,CALIFORNIA 93648 ❑ (559)498-0240 <br /> EPA#CAD028277036 <br /> DATE 111j6 a _ CUSTOMER NUMBER <br /> CUSTOMER h/1 I AMOUNT <br /> PHON6I - _CONTACT CHECK NUMBER <br /> CUSTOMER EPA# L O�� �� aJ _ P.O.NUMBER <br /> JOB SITE ADDRESS (g �r.¢-� �Gt9 CASH RECEIVED <br /> � r (AMOUNT)COMI+ OMTY�) <br /> CROSS STREETS HALIDES P.P.M. <br /> NOTES: <br /> ,P�7NOWRCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED OILS)STATE CODE 221 '•` <br /> 'NO PLACARDS REQUIRED* <br /> ❑ NON•RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE ®E 2011 <br /> *NO PLACARDS OR MARKINGS REQUIRED* SERVI <br /> El OTHER ..........CE..DATE <br /> .................. <br /> r DRUM SIZE <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER TRUCK NO.&RT. � zr <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ BIG SKY ENTERPRISES, 401 West Channel Rd.,Benicia,CA 94510 CAL 000301639 1-510-541-2128 <br /> ❑ GLOBAL MATERIAL MANAGEMENT, 1640 N.Broadway Ave.,Stockton,CA 95205 CAL 000417316 1-818-770-2577 <br /> ❑ SA RECYCLING, 33210 Western Avenue,Union City,CA 94587 1-510-487-9277 <br /> ❑ YUMA YES LLC, 2730 E.13th Street,Yuma,AZ 85365 AZR000515924 1-928-643-8938 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF; ❑ -ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chlco,CA 05928-CAI-000827844 <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.,Fortune,CA 95540-CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. •16202.Brundage Ln.•Bakersfield,CA 93307•CALD00282596•(WI)377-0308 <br /> ❑ DIK DIXON-7300 Chevron Way•Dixon,CA 95620■CAT080012602■(707)693-6008 _ <br /> EI DEMCNNO/KERDOON•2000 N.Alameda Street■Campton,CA 90222•CAT0800IM52•(310)5377100 <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722.-CAD982446882■(510)795-4400 <br /> Ll RAMOS ENVIRONMENTAL■1515 S.Silver Road•W.Sacramento,CA 95691 ►CAD044003556•(916)371-5747 <br /> ❑ WORLD OIL-SAN JOA LC•1428 .Manning A e.•Parlier,CA 93648 000 02751 •(559)498-024 <br /> LTERNATE FACILITY I f r y f <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WAST ER BO ARE This is t 1h fh�adav'asnGfr ttrle ilcr�re3p rf � i�I aclined,marked <br /> RECYCLED C OUR SISTER COMPANY D WESTERN UNITED S THE and labeled,and ar in proper candisian for ansportai on,accord ng to the appllcahle regulallons of <br /> LARGEST RECYCLER OF USED OIL IN'THE WESTERN UNITED STATES. the Depa. nt apspodwion. <br /> 'I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.;_ X � �Gc��— LI1 ZI <br /> ANa THAT TFiE WASTE DOES NOT CONTAIN ANY RC,B'S, USTOMER SIGNATUREA3ATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X J � <br /> DISPOSAL IF THIS WASTE IS OVER 1000 RRM,TOTAL HALIDES, OR <br /> CONTAINS ANY P.C.B'S. PRI 7 NAME <br />