COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

FOR SERVICE CALF.: SERVICE ORDER PARLIER ASBURY ENVIRONMENTAL SERVICES, DBA FORM NO.WOES004-D (1/17) 559-498-0240 WO 500 SERVICE ORDER NO. FOR ACCOUNTING CALL: �,.' 562-231-1550 WODIY 0 N2479329__ AF 110 WORLD OIL ENVIRONMENTAL SERVICES,. " ANTONINI ENTERPRISES LLC- LATHROO287 EAST MANNING AVE,PARLIER CA 93648 1 1-559-498-0240 ANTONINI ENTERPRISES LLC-A P 701 D'ARCY PKWY www.woRLDOILcoRPcoM PO BOX 8468 E T LATHROP, CA 95330 TRANSPORTER EPA#CAD028277036 STOCKTON, CA 95215 0 (209) 993-8695 (209)466-4900 CUSTOMER# PURCHASE ORDER# ROUTE# TRUCK# CONTACT NAME ORDER TAKEN BY HALIDES ANT608 1ER-86 SCHEDULED jpalcheco DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# BILL of LADING/MANIFEST# 11/27/2017 CAL000385703 PART# DESCRIPTION QTY UNIT PRICE QTY P/U TOTAL OFDR OIL FILTER DRUM REPLACEMENT-NO CHARGE OF USED METAL OIL AND GASOLINE FILTERS BATCH Crops Streets: TOTAL CASH RECD: CHECK# Account Manager Steve Gately WASTE DISPOSAL INFORMATION NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS) STATE CODE 221 NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE OTHER. ._.NON_FtCRA•HA7.ARO C?Lf31l1lAsT 513,EC7••(FIL�C ITAiN#�dCxol#�}STAT DESIGNRTER TSDF: ALTERNATETSDF: YUM 1 365'M11%er-288 DRUMS P/U:_w EMPTY DRUMS: FACILITY: BSC GENERATOR WASTE CERTIFICATION (PLEASE CHECKTHE APPROPRIATE BOLDEC 201 1Bysigning below lhereby certify that: (Waste oil generator/customer MUST check ONE of the following three(]81)Ihave notmixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain anerrrntenu F the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect =92 1 have not mixed any of the waste described above with any other hazardous waste,the total halide content Is GREATER than 1,000 ppm,and the waste does not contain any PCBs.I have provided proper documentation to World Oil Environmental Services to rebut the presumption that this waste was mixed with other hazardous waste.I agree to accept the additional charges for the disposal orchis waste if the information I have provided about this waste is incorrect =113)This waste is from a tank which collects waste oil from household"do-it-yourself"(DIY)and/or conditionally exempt small quantity generator(CESQG)sources,To the best of my knowledge,the only waste oil contained in my DIY/CESQG collection tank is soley from DIY and/or CESQG sources.I have not mixed this waste oil with any other hazardous waste or waste oil from other sources,I agree to accept the additional charges for disposal of this waste if the information I have provided about this waste Is incorrect (Ali generators/customers MUST read the following text and check the associated box.) 9+11 If l ant a large quantity uwwrator,I certlfv that(have n program to place to inducethr vohtmC and toAtily of waste ge,letmed to the degree I1111W detorrmned to be emnorntcAyprankable an¢that)have stNnrllil�wual e pdacticabre methorl of treatment,storager or disposal currently available to rna which minimlees the present and future threat to human Ilrr rnd theenvlronment;Or,if i am a small quantlty generate,f Pin a gaud faith effort m minimim my waste gener;dan and setoct the best waste management method that is avallable to me that I can afford. rhslgnkd g In the space set forth below on behalf of Customer represents and wefrants that hehhehas the authority to bind Custome,that the forgoing desrdptions oFwasteand materials aretrua and accurate as packaged,marlrcd and labeled,are ready for transportation hi accordarx—t with applicable state and federal regulations,and that Cuswmur shall abide ar,d be bound by the SrandarclTerms and Conditinns on die averse slde oft P71toOrder, V Cust er 51 at Date Drive a re Date Print Name Print Drivers ame J