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SERVICE ORDER <br />No. N A-1� A <br />ASRURY' ENVIRONMENTAL SERVICES <br />2100 NORTH AIAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CALIFORNIA <br />1-800.748-5744 EPA CAD028277036 1-800-727-2879 <br />1-800-933-9194 <br />2 <br />DATE <br />CUSTOMER_�TF <br />BILLING ADDRESS <br />PHONE CONTACT=S <br />CUSTOMER EPA if d F '3 r % 37 <br />— r <br />JOB SITE ADDRESS _--- QE1YED - RIPORn3_ <br />�� <br />CROSS STREETS PO. No;; J a <br />NOTES: ---Cilie No. — <br />Receipt�, -- <br />ONE TIME PICK UP 171 YES oi- UN0 <br />RESIDENT J YES or -q-'NO <br />CONTRACT CUSTOMER O YES or-F� NO <br />E <br />CUSTOMER NUMBER 3 ✓ F ; <br />OUNT "� <br />CHECK NUMBER <br />18� <br />P.O. NUMBER 7�_�_— <br />CASH RECEIVED <br />(AMOUNT) <br />COMMODITY vs/ 4) — <br />HALIDES_ 1104 . ---PRM. <br />Q <br />NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS) STATE CODE <br />*NO PLACARDS REQUIRED'* <br />❑ <br />NON-RCRA HAZARDOUS WASTE, 1-0,1ID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQkjlRED* <br />NEXT SERVICE DATE <br />❑ <br />OTHER <br />DRUMS DRUM SIZE <br />2' <br />MANIFEST NO. ✓ 5 ,? 1 f _ <br />NO. OF GALLONS <br />DRIVER <br />rte' <br />. _ — <br />TRUCK NO. & RT --- <br />D <br />NON HAZARDOUS DRAINED USED OIL FILTER <br />❑ <br />COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />J <br />ALTERNATE FACILITY <br />DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL - 5002 Archer Street • Alviso, CA 95502 • CA1000161743 • (408) 262-1360 <br />❑ BAYSIDE OIL. 11, INC. • 210 Encina! Street • Santa Cruz, CA 95060 • CAD088838222 • (408) 427-3778 <br />J ARTESIAN OIL RECOVERY INC. • 2306 Magnolia Street • Oakland, CA 94067 • CAL000233905 • (510) 839-4234 <br />i_) DeMENNO%KERDOON • 2000 N. Alameda Street • Compton, CA 902.22 • CAT080013352 • (310) 537-7100 <br />❑ OCS - 3255 N. Marks Street. ° Fresno, CA 93722 • CAD980673842 ^ (559) 485-5496 <br />[:),� RAMOS ENVIRONMENTAL • 1515 S. River Road • W. Sacramento, CA 95691 • CAD44003556 • (916) 371-5747 <br />C, ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue • Chico, CA 95928 o CAL000827844 <br />,I ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br />RECYCLED AT OUR SISTER COMPANY DEMEt1NO/KERDOON THE <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. <br />*I HEREBY CERTIF'r 'THAT I HAVE NOT WXE D THIS WASTE WITH Ata' <br />OTHER WASTE THAI' THE: TOTAL. HALIDES ARE LESS I'HAN 1000 P^.hf ; <br />AND THAT THE WASTE DOES NO'f CONTNN ANY RO.R'S.. <br />*1 FURTHER A3RL_TO ,: _.'T THE: ADDiTIONQ GHA;1L=5 .'OH LEGAL <br />DISPOSAL. IF ['HIS WASTE. IS GVER 1000 P. r, M. T•', GSL E!1LJDEB, ON <br />CONTAINS ANY C .5'S. <br />This is to certify that the ebove named articles are properly classified, described, packaged, marked <br />and labeled, and are in proper condition for transportation. according to the appiicable r6pula;tiogs of <br />tha Departal-ent of Transportation. <br />X r, <br />CUSTOMER SIGNATURE <br />X <br />_�.r_ PRINT NAME <br />