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r -10 ----- - - ---- —-----_ ----------- ---- ------ BILLING FOR SERVICE CALL: ;Sr'ivf ASBURY ENVIRONMENTAL SERVICES,DBA SITE OES All TO REPAIR-MOFFAT BLVD JOES AUTO REPAIR-MOFFAT BLVD CERES (800)974-4495 WORLD OIL 69 MOFFAT BLVD STE C 69 MOFFAT BLVD STE C DATE ENTERED ORDER TAKEN BY yy��q►.t ENVIRONMENTAL SERVICES, 2/11/2025 Gonzales, M ,,��{{ I A�FI137 1300 South Santa Fe Avenue MANTECA,CA 95336 MANTECA,CA 95336 f Compton,CA 90221 1 209)824-2833 (209)824-2633 DATE REO ROUTE# www.worldoilcorp.com CER-136 - Transporter EPA#CAD028277036 SERVICE ORDER# CUSTOMER# CUSTOMER EPA# CONTACT TRUICK# PURCHASE ORDER# CHECK/ ASH RECD NEXT SERVICE N5654753 jjUI=U3fj CALQ 032 866 JUANN # PART# DESCRIPTION MANIFEST/BOL EST OTY ACTUAL QTY UNIT$ TOTAL o USED OIL 0z G s 6t 55 J J $Q.Qo $o.Qo � 717 UEI TEST RESULTS—(!ASS FAIL) CLOR-D-TECT REQUIRED FOR DIY OIL—(PASS/FAIL) tN OSC USED OIL SERVICE CHARGE 1 ( $145.00 $145.00 ' ( EMC EMANIFEST EPA FEE&ADMIN-CONSOLIDATED MANIFEST 1 I $8.00 $8.00 fv�y r �:a ACCT MGR:Samuel Read 1 NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL) STATE CODE 221 CROSS STREETS1 WORLD OIL ENVIRONMENTAL SVCS-CERES,1910 MORGAN RD.CERES,CA 95307 209 541-1825,CAL0003936M DISPATCH NOTES DRIVER NOTES PACED DRIVER DRY RUN❑ ' GENERATOR WASTE CERTIFICATION:Used oilgenerator/customer is REQUIRED to check one of the below options. I havenot mixed 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 any PCBs.I have complied with the requirements of the applicable California or Federal Used Oil K , 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. 4 I 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 of this waste if the information I have provided about this waste is incorrect. ' raccurate is waste is from a tank which collects used oil from household"do-it-yourself'(DIY)and/or very small quantity generator(VSOG)sources.To the best of my knowledge,the only used oil contained in my DIY.i VSOG collection tank is solely from DIY and/or VSOG K(1) Yrces.I have not to this used oil with any other hazardous waste or used oil from other sources.I agree to accept additional charges for disposal of this waste it the information I have provided about trns waste is incorrect. All generators/customers MUST read the following text and sign below. I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes and future threat to human life and the environment.This individual signing in the space set forth below on behalf of customer represents and warrants that he/she has the authority to bind customer.that the forgoing descriptions of waste and materials are true and packaged,marked,and 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 aste manifest(either site specific 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.Applicable fees will appear on your billing invoice. ull Printed Name Customer Signature I Date Driver Full Printed Name Driver Signature Date