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SERVICE ORDER <br />— — -_ NO. N 4059.8 <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CALIFORNIA <br />1-800-748-5744 EPA CJiD028277036 1-800-727-2879 <br />1-800-933-9194 <br />r <br />DATE,✓f <br />CUSTOMER <br />BILLING ADDRESS . •7 �'" r ' ,� ,� N .. <br />PHONE ) CONTACTr <br />CUSTOMER EPA # <br />JOB SITE ADDRESS <br />Receipt[wle -/0-0RO.N3 <br />®_ - <br />CROSS STREETS _Ua-No. b <br />NOTES: RecMpt Go(`. 30 <br />Entered By �2ESS <br />)Z NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS) STATE CODE.? <br />*NO PLACARDS REQUIRED* <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYC^i_ SOLUTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQUIRED" <br />❑ OTHER <br />ONETIME PICK UP <br />RESIDENT <br />El YES or EI. -NO <br />❑ YES or�J•-NO <br />CONTRACT CUSTOMER ❑ YES or Q NO <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER <br />F.O. NUMBER ISa� <br />CASH RECEIVED <br />COMMODITYa: <br />HALIDES e'-, r1 P.P.M. <br />NEXT SERVICE DATE <br />DRUMS DRUM SIZE <br />MANIFEST NO. /_y r't s d t _ NO. OF GALLONSr <br />DRIVER J s .: TRUCK NO. & RT. <br />❑ NON HAZARDOUS DRAINED USED OIL FILTER <br />❑ COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />DESIGNATED TSDF: ❑ 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 />❑ ARTESIAN OIL RECOVERY INC. * 2306 Magnolia Street • Oakland, CA 94067 * CAL000233905 • (510) 839-4234 <br />❑ DeMENNO/KERDOON • 2000 N. Alameda Street • Compton, CA 90222 * 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 />b 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 OIL IN THE WESTERN UNITED STATES, the Department of Transportation. <br />*1 HEREBY CERTIFY THAT i HAVE NOT MIXED THIS WASTE WITH ANY' <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 RPM.; X <br />AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DWE <br />ik'*1 FURTHER AGREE TO ACCEPT THE ADDI gONAt_ GHARG�?S COR LEGAL x <br />DISPOSAL IF THIS WASTE IS OVErA 100 P.P.M. TOTAL HALIDES, OR <br />CONTAINS ANY P.C.B'S. PRINT NAME <br />