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ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET o COMPTON, CALIFORNIA 90222 0 (3 10( 886-3400 <br /> EPA NO.CAD028277036 <br /> SERVICE ORDER <br /> NO. 089848 <br /> DATE - - CONTRACT CUSTOMER 0 YES or 0 NO <br /> CUSTOMER - - SERVICE CHARGE 0 YES or 0 NO <br /> BILLING ADDRESS <br /> -- AMOUNT(If any) <br /> PHONE CHECK NUMBER <br /> CUSTOMER EPA# iA P.O. NUMBER <br /> JOB SITE ADDRESS '1'''�`- 1'?f r� CASH RECEIVED <br /> (AMOUNT) <br /> - COMMODITY <br /> NOTES HALIDES P.P.M. <br /> 0 U.S. DOT DESCRIPTION:WASTE OIL, COMBUSTIBLE LIQUID NA 1993 <br /> ❑ U.S. DOT DESCRIPTION: HAZARDOUS WASTE LIQUID, N.O.S. NA 3082 NEXT SERVICE"T <br /> 0 U.S. DOT DESCRIPTION: <br /> MANIFEST NO.—, NO.OF,f \1�LO§ <br /> DRIVER TRUCK INO.,d, (yTAL"OW, <br /> 1VIR01�� <br /> DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N.Alameda Street, Compton,CA 90222, CAT080013352 PERM)T ISERVIGES <br /> This is to certify that the above named articles are properly classed, described, packaged, <br /> marked and labeled,and are in proper condition for transportation,according to the applicable <br /> regulations of the Department of Transportation. <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL X <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE CUSTOMER SIGNATURE <br /> IS OVER 1000 P.P.M.TOTAL HALIDES <br />