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SERVICE ORDER <br />_ = - No. N 1111 <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ X310) 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 />DATE <br />CUSTOMER <br />BILLING ADDRESS <br />PHONE <br />CUSTOMER EPA # <br />JOB SITE ADDRESS <br />CONTACT <br />Receipt Date <br />CROSS STREETS P.O. No. <br />�i.ne o• 2 C 2 <br />NOTES: —_Rfecelpt cr, . <br />Esf <br />Entered By <br />ONETIME PICK UP <br />RESIDENT <br />El YES or O'NO <br />.r <br />❑ YES or 0 NO <br />CONTRACT CUSTOMER ❑ YES or ®" NO <br />CUSTOMER NUMBER +' <br />AMOUNT <br />CHECK NUMBER <br />P.O. NUi'0bER ! I L2 Z/K <br />CASH RECEIVED <br />(AMOUNT) <br />COMMODITY IAI <br />HALIDES`Prc.* P.P.M. <br />0 NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS) STATE CODE <br />*NO PLACARDS REQUIRED* I <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SCuTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQUIRED* <br />❑ OTHER <br />MANIFEST NO.—_ -- <br />DRIVER •� .� ,t,'. l . . <br />❑ NON HAZARDOUS DRAINED USED OIL FILTER <br />❑ COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />NEXT SERVICE DATE ? <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 />❑ <br />BAYSIDE OIL II, INC. • 210 Encinal Street • Santa Cruz, CA 95060 • CAD088838222 • (408) 427-3778 <br />❑ <br />ARTESIAN OIL RECOVERY INC. • 2306 Magnolia Street • Oakland, CA 94067 • CAL000233905 • (510) 839-4234 <br />❑ <br />DeMENNO/KERDOON • 2000 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 />G7 <br />RAMOS ENVIRONMENTAL • 1515 S. River Road • W. Sacramento, CA 95691 * CAD44003556 • (916) 371-5747 <br />❑ <br />ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue • Cnico, CA. 95928 * CAL000827844 <br />❑ <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 !n 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 s <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1900 RPM., XAND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br />*1 FURTHER .AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL XDISPOSAL IF THIS WASTE IS OVER 1000 P.F.M. TOTAL HALIDES, OR <br />CONTAINS ANY RC.B'S. PRINT NAME <br />