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FOR SERVICE AL�`" , � <br /> PARLIER SERVICE ORDER <br /> 559-498-0240 <br /> FOR ACCOUNTING CALL: <br /> 562-231-1550 WORLD O R�_D■�� O I L NO. N 9 0 2 7 9 5 <br /> ENVIRONMENTAL SERVICES. <br /> 14287 EAST MANNING AVE ❑ PARLIER,CALIFORNIA 93648 ❑ (559)498-0240 <br /> EPA#CAD028277036 <br /> DATE {_! _ CUSTOMER NUMBER U'1 �W <br /> CUSTOMER 1e- AMOUNT <br /> PHONE -CONTACT CHECK NUMBER <br /> CUSTOMER EPA# &b _?t65-_ 31 b5-'*'- P.O,NUMBER <br /> JOB SITE,ADDRESS T-C, CASH.RECEIVED <br /> y p (AMOUNT) <br /> COMMODITY W [J <br /> CROSS STREETS HALIDES P.P.M. <br /> NOTES: <br /> e/�IX-ON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS)STATE CODE- 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER �- DRUMS-DRUM SIZE <br /> MANIFEST NO. 64( <br /> 2 d NO.OF GALLONS 4f v <br /> DRIVER__L_ham �� __ TRUCK NO.&RT. <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 /> ' i . <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 JAN 2 5 2018 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO II,LLC•1618 W.5th St.,Chico,CA 95928•CAD980694103•(800)733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA•200 Dinsmore Dr.,Fortuna,CA 95540 a CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON•7300 Chevron Way•Dixon,CA 95620•CAT080012602•(707)693-6008 <br /> ❑ DEMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> ❑ WORLD OIL-SAN JOA L •142$7 C!Manning Ave.• arl(e SCA 9; 48-C L00010 75 559)498-0240 <br /> _ LTERNATE FACILITY -. � �c/Y <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAM ARE Th� c.r[fy� af�e� ticl qI�I ci�d� " aged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNWKERDOON TME' a iat,y an are n roper condition for nsportal�vn,according to the applioaale rQyulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Dopa ant of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.;; j i DI—a <br /> AND THATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S..' CUSTOMER SIGNATURE DATE <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL i <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X 1 <br /> CONTAINS ANY P.C.B'S. I <br />