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SERVICE ORDER <br />No.N 416774 <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH AtAMEDA STREET ❑ COMPTON, CALIFORNIA 9022.2 ❑ 1310) 886-3400 <br />SAN DIEGO OFF=ICE NORTHERN CALIFORNIA <br />1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br />1-800-933-9194 <br />DATE <br />,f r <br />CUSTOMER14 <br />BILLING ADDRESS r` f'� -� ✓�`'�L. <br />T r " r. <br />PHONE �r _CONTACT 4�4- <br />CUSTOMER EPA # <br />RECEIVED - RIPON <br />JOB SITE ADDRESS <br />CROSS STREETS _ _N$— <br />NOTES: Receipt <br />Entered Ey 6 <br />PX; NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE <br />*NO PLACARDS REQUIRED* <br />ONETIME PICK UP DYES ors•FNO <br />RESIDENT ❑ YES or a -'NO <br />CONTRACT CUSTOMER ❑ YES or A NO <br />rN <br />MER NUMBERT <br />ECK NUMBER <br />NUMBER 1 gal <br />COMMODITY <br />HALIDES <br />P.P.M. <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE ''! YCOL SOLUTIONS) STATE CODE ---- <br />*NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE /2 4Xf < <br />❑ OTHER <br />MANIFEST NO. <br />DRIVER <br />❑ NON HAZARDOUS DRAINED USED OIL FILTER <br />❑ COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />DRUMS DRUM SIZE _ <br />NO. OF GALLONS <br />TRUCK NO. & RT _. <br />DESIGNATED TSDF: ❑ <br />ALVISO INDEPENDENT OIL - 5002 Archer Street • Alviso, CA 95502 • CA1000161743 • (408) 262-1360 <br />BAYSIDE OIL II, INC. • 210 Encinal Street • Santa Cruz, CA 95060 • CAD088838222 • (408) 427-3778 <br />D <br />ARTESIAN OIL RECOVERY INC. • 2306 Magnolia Street • Oakland, CA 94067 • CAL000233905 • (510) 839-4234 <br />C; <br />DeMENNOXERDOON • 2.000 N. Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100 <br />❑ <br />OCS - 3255 N. Marks Street. • Fresno, CA 93722 • CAD980673842 • (559) 485-5496 <br />0 <br />RAMOS ENVIRONMENTAL • 1515 S. River Road • W. Sacramento, CA 95691 • CAD44003556 • (916) 371-5747 <br />❑ <br />ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue • Chico, CA 95928 • CAL000827844 <br />❑ ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified, described, packaged, marked <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and are in proper condition for transportation, according to the applicable regulations of <br />LARGEST RECYCLER OF USED OII_ IN THE WESTERN UN9TL'D STATES. the Department of Transportation. <br />*1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE W!TH %Ijy <br />OTHER WASTE, THAT THE TOTAL HALIDES AlIE LESS THAN1000 )C <br />AND THAT THE WASTE DOES NOT CCNIAIN ANY F.C.E''S.. — CUSTOMER SIGNATURE: CA', E <br />' f <br />*1 FURTHER, AGREE TO ACCEPT THE ADDITIONAL C'-iARCiE-7 FOR I L-'. AL � <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL. HALIDES, JR A. _ <br />CONTAINS ANY PC.B'S. PRINT NAME <br />