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I.-[ V br SMITH GRAPHIC SERVICES • (760) 247-3997 • FAX (760) 247-3998 <br />If <br />SERVICE ORDER <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CAUFORNIA <br />1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br />DATE v / ONETIME PICK UP OYES or ❑ NO <br />CUSTOMER )5 RESIDENT ❑ YES or ❑ NO <br />BILLING ADDRESS �� 7- �� CONTRACT CUSTOMER ❑ YES or ❑ NO <br />�174 r3 L <br />PHONECONTACT CUSTOMER NUMBER <br />CUSTOMER EPA # n4nn 7 J!� 3:3 d AMOUNT <br />JOB SITE ADDRESS CHECK NUMBER <br />P.O. NUMBER <br />CROSS STREETS CASH RECEIVED <br />(AMOUNT) <br />NOTES: <br />COMMODITY <br />HALIDES/"6V G P.P.M. <br />f� NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE 221 <br />/ *NO PLACARDS REQUIRED* <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE 133 <br />*NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br />❑ OTHER ` DRUMS DRUM SIZE <br />MANIFEST NO. 6 0 2-10 �9Z2\ S r NO. OF GALLONS /0 (1 <br />DRIVER TRUCK NO. 8 RT. S z en') <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 • CAL000161743 • (510) 476-1740 <br />❑ BAYSIDE OIL 11, INC. • 210 Encinal Street • Santa Cruz, CA 95060 • CAD088838222 • (408) 427-3778 <br />❑ PARLIER FACILITY • 14287 E. Manning . Parlier, CA 93648 • CAL000102751 . (559) 498-0240 <br />❑ DeMENNO/KERDOON • 2000 N. Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100 <br />❑ D/K DIXON • 7300 Chevron Way • Dixon, CA 95620 • CAT080012602 • (707) 693-6008 <br />❑ RAMOS ENVIRONMENTAL . 1515 S. River Road . W. Sacramento, CA 95691 . CAD044003556 .(916) 371-5747 <br />❑ ASBURY ENVIRONMENTAL SERVICES * 2549 Scott Avenue • Chico, CA 95928 • CAL000827844 <br />i ALTERNATE FACILITY, <br />- / <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and lal <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the De <br />*1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br />�fy that the above named articles are properly classified, described, packaged, marke <br />and are in proper condition for transportation, according to the applicable regulations c <br />