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fi <br /> RY ENVIRONMENTAL SERVICES,DBA SITE <br /> ASBUBILLING FOR SERVICE CALL: <br /> C OES f;U(U rc` .ilk BLVD JOSS AUTO REPAIR-MOFFAT BLVD CERES (800)974-4495 <br /> C r. WORLD OIL 69 MOFFAT BLVD 5TE C 469 MOFFAT BLVD STE C DATE ENTERED ORDER TAKEN BY <br /> a 2/11/2025 Gonzales, M <br /> ENVIRONMENTAL SERVICES- <br /> 1300 CA 95336 <br /> 1300 South Santa Fe Avenue ANTECA,CA 95336 DATE REQ ROUTE# <br /> Compton,CA 90221 2Q9j 824-2633 (209)824-2633 <br /> www.worldoilcorp.com I CER-86 <br /> Transporter EPA#CAD028277036 <br /> SERVICE ORDER# CUSTOMER# CUSTOMER EPA# CONTACT TRUCK# PURCHASE ORDER# CHECK/CASH RECD NEXT SERVICE <br /> N�54756 JOE036 CAL000325856 JOANN <br /> r MANIFESTBOL EST OTY A T AL UNIT$ TOTAL <br /> # PART# DESCRIPTION r_+p v 7 c i $65.00 $65.00 <br /> OF DRAINED USED OIL 8r GASOLINE FILTERS(ME-TALI <br /> $0.00 $0.00 <br /> OFDR OIL FILTER DRUM REPLACEMENT-NO CHARGE <br /> CAN <br /> I � <br /> ACCT MGR:Samuel Read <br /> CROSS STREETS: <br /> LJ NON-RCRA HAZARDOUS WASTE,SOLID(FILTERS CONTAINING OIL)-Applicable when Checked. STATE CODE <br /> i <br /> 9767 4TH STREET,STE 8,DELHI,CA 95315(209)667--8857 <br /> DISPATCH NOTES <br /> DRY RUN❑ <br /> DRIVER NOTES <br /> GENERATOR WASTE CERTIFICATION:Used oil enerator/customer is REQUIRED to check one of the below at tons. <br /> he waste does not contain <br /> have not mixed any of the waste described above with any other hazar dditionalteharges for tfia disposal of this waste f the i7 haiide content is LESS t an nnforr atioo Ithave provided about this wastPCBs. <br /> s Bcor ectl haveecomhave plrodvided properith the gdocument tionuirements at to Wo IdbOil Environmental onmental Sery ces to rebut the <br /> C Management regulations to determine this is true.I agree to accept t e a <br /> I have not mixed any of the waste des-1 Q, above with with other hazardousowaste.alzarg/ee tbWacscept thete,the oadd tanal chargese content tal InforGREATER e d disposal of this wa e f thehnformation I ha�e provided about this wasteisincorrect. <br /> j presumption that this waste was mixed <br /> This waste is from a tank which collects tional charges for <br /> used oil from household"do-it-ydurself"(DIY)and/or very small quantity generator(ept VSOG)sources.To the best of my knowledge,the only used oil contained in my DIY/VSQG collection tank is solely from DIY and <br /> V <br /> sources.I have not mixed this used al with any other hazardous waste or All generators/customers it;11ersO es.I agree to cMUST read the following isposal of this <br /> text and sign tbelow.provided about this waste is incorrect. <br /> of <br /> atment,storage,or <br /> osal <br /> le to me <br /> C duce the volume and toxicity of waste generated to the degree I have determined to be economicallycticable and that I ha warrants that he/she has ve selected <br /> the <br /> to bin <br /> dtcustomer,r,that the forgoing deslcrriipti nsuof wastevand bmater materials are true minimizes <br /> certify that I have a program in place to re <br /> the present and future threat to human life and the environment.This individual signing in the space set forth below de behalf la customerrepresents <br /> or consolidated)are subject to an EPA Fee.These fees cover the EPA pass-through fee and administration of the eManifest program.These fees vary based on Manifest type.A11, <br /> pplicable fees will appear on your billing invoice <br /> r accurate as packaged,meat to hum labeled,are ready for transportation in accordance with applicable state and federal regulations,and that customer shall abide by the Standard Terms and Conditions on the reverse side of this Service Order.Service Orders with an associated <br /> hazardous waste manifest(either site specific , <br /> Driver Signature Date <br /> Date Driver Full Printed Name <br /> Customer Signature <br />