Laserfiche WebLink
—_ � <br /> pr asT'�n�8P'p~. FOR SERVICE CAI_l: - <br /> ;�„c151XON OFFICE SERVICE ORDER <br /> ' * 1.808.727-2879 ASBURY ENVIRONMENTAL SERVICES,DBA FORM No.WOESOOq g(g�tBJ <br /> ,aa ERVICE OROERNO. • <br /> FOR ACCOUNTING CALL. S <br /> 562-231-1550 WORLD OIL <br /> X74373 <br /> � J <br /> ENVIRONMENTAL SERVICES.. A q <br /> 7300 CHEVRON WAY,D1xON,C, ,,20 9IJ <br /> ,- �•� c eli r2r=l-�iif3 Jwi - <br /> ,Y w"�« - -^:411 ftr.q VM 1.800-727.2678 <br /> e WWW.WORLDOILCORP.COM '141 vV YO,S[WFL A Ve <br /> TRANSPORTER EPA q CA0028277036 <br /> . . MANTECA.CA rn_,+3i <br /> 2091 <br /> CUSTOMER# PURCHASE ORDER I ROUTE# TRUCK# <br /> CONTACT NAME ORDER TAKEN By HALIDES <br /> i OATE REQUIRED OATE7 rrwwn�ar T.t <br /> ENTERED NEXT-� SERVICE DATE Tf11fN1i CUSTOMER EPA BILL of LAOILN�GI�MANIFESTx <br /> _ G.:LUUJ��est}93 2 JS r 1 <br /> PART# DESCRIPTION <br /> •..' °�r�-UU LYS S L- -H QTY UNIT PRICE QTY PIU TOTAL <br /> arai.:l Ya1WUlM 1' N U�W S tLl(,r I <br /> Wivsa �rprlorV <br /> INK TRUCKwAsHnur <br /> &T- . <br /> CASH REC'D: CHECK q TOTAE <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED CHUMIXE00OILS)YNFORMATION <br /> '�•_.�'R NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE 221 <br /> OTHEq: STATE CODE <br /> DESIGNATED TSDF: <br /> ALTERNATE TSOF: - <br /> - DRUMS P/D4 .- Attolnt Nw .sun Raitl _ <br /> EMPTY DRUMS:_ FACILITY: _ aSC <br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE 60)() <br /> Er aramnq Bala I Ismer narnry mol <br /> (Waste oil generator/CustOMer MUST check ONE Of <br /> ❑.,i l nor.pole I..a.nr or Ina waom arapeeep am.^I.Itn.nv eln.,n.>,mava wy,e.rna lolnr nnna..enr..r�.Ess the following three <br /> boxes)Pnv r•cae.t naae <br /> IFa lnlwmarlenlnare provluoa.naW,ryPje lwae,e le�Ircormct atJe mnagemenr npublbnetea.rvmelw rm.lstrve.l agree baccepl me etltllllonalenargee for me tliepoulpf Mie wash lr <br /> J eE;Nre e�y el wlo ab <br /> P�wa'ae el5ery n n„rltlay Eenee ml� on <br /> = rgea torr Me tllapo lel Iola ween rl lne wrwmaEonlM1e Pro iGeE eboul Mle weam vin<uneq ,nlew..re xetl wFM Omer nexeNeua wasb.lee vrr oa e�Bal <br /> k�31�7>�waale Ywoeem�pntdlneelnt my dTICEIEaGP011emoe�nkRwkumerrvlplrl anao.=eMll ^Iv[aman qunnnN 9enerewrlCFSeolre,.,<ae <br /> na°n' y Imm dr a�awr eema:a�etiek�i n.ve nm mraw M,:w.al.on wlln em omm n.,.mo�s..,ie omye.are mr <br /> hom mrypr rwrcea.I apres b acepl Ina etltlilfonel cM1ege.to.plsposal of Ima weeln Ir Me Inlarmanen I Iuue prorltletl aeeul Ims weal.la Izermcr <br /> (All generators/customers MUST read the following text <br /> mlN laeern. wraap<.Mar rrtl .ull,rn tenon e <br /> m ea of l,a.lmem.alrr.a.. elepeul�Inm.nnye.elleM to r�wnan min ml..eeP.�.;,p f„i„m Mraamn.mee .�rle°,..ew.w,my. oe <br /> Iln.ral,.,eau,a <br /> -ruama�iai:`es��:arler:�r,°.ao::w�=os��ea.�le raeceise�..r�p ar f.:ei pie w.rrem n.I Haran.Han rn..mnmrr to nmal.,,emmar.m.r fn.ra.ger�gae,rriprlea.nl,a.m <br /> brine Suntlertl Terms ene Conetrrona on rke mrene area of rM1b Servlve order. apoNrlenm eaveega wlM eppllmnG MeM ane wyerel repulerlen.,.etl MVl cus,omar arurl edpp <br /> S n�Yenllmlwlm meeen ll�l�s.dry�aweeenn Mwlkalr ltner�anellrpsbl.kes w'Ipl oeiitleuelan auqq ,o en EP u-low rye wvart M g xe e.,tl ao <br /> o ae pmpmm rYPv pp ppearoo yew.WXnlp lnytcea nNnklmnea <br /> Custprger Signature Data Drive.Signature Date _ <br /> (,{/iGLrAi+rt [�rrlf� <br /> PrInl Name - Print Driver Name II; <br />