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0 <br />FORM NO. AES003 <br />SERVICE ORDER <br />No. N 718462 <br />ASBURY ENVIRONMENTAL SERVICES <br />1300 S. SANTA FE AVENUE O COMPTON, CALIFORNIA 90221 0 (310) 886.3400 <br />EPA/ CAD028277036 <br />DWON UNION CITY CHICO <br />809-727-2879 888803.8844 800-733-9043 <br />DATE 1 ` A // ONE TIME PICK UP OYES or ONO <br />CUSTOMER <br />BILLING ADDRESS <br />PHr1NF ) / - "T li .r -e r r-/t`f yarn r <br />CUSTOMER EPA# (-ti 0C4�; `'I C; (,—A, <br />"SITE ADDRESS �! r .j - 11 U 1 r n r 1A <br />r. I <br />_ ;t RESIDENCE O YESor LINO <br />CONTRACT CUSTOMER BYES or O NO <br />PLEASE PAY FROM THIS <br />SERVICE ORDER <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER <br />PO -NUMBER <br />CROSS STREETS CASH RECEIVED <br />pM/i0t1101 <br />NOTES: COMMODITY !. J �: <br />HAUDES ° - P.P.M. <br />NON-RCRA HAZARDOUS WASTE. LIQUID (USED O"IXED OILS) STATE CODE <br />MVO PLACARDS REQUIRED' <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />"NO PLACARDS OR MARKINGS REOUI RED' NEXT SERVICE DATE <br />❑ OTHER DRUMS DRUM SIZE <br />MANIFEST NO. `%'f` NO-OFGALLONS <br />DRIVER �. r. -r liu//�TRUCK NO, &FIT ./ <br />O USED OIL AND GASOLINE FILTERS <br />❑ SA RECYCLING, 33210 Weetem Avenue. Unfon City, CA 94587 1-510-487-9277 <br />❑ ALTERNATE FACILITY <br />DESIGNATED TSDF: Q ASBURY ENVIRONMENTAL SERVICES' 2549 Sool Avenue • Chico- CA 95928 a CALOWS27M4 <br />❑ ASSURY ENVIRONMENTAL SERVICES-CHICO II, LLC • 1618 W. 5th St., Chko, CA 95928 • CADWS94103. (800) 733.9043 <br />❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA - 200 Dinsmore Dr., Fortune, CA 95540 • CAL930256136 • (800) 733-9043 <br />❑ BAKERSFIELD TRANSFER INC. • 1620 E Brundage to • Bakersfield, CA 93307 • CAL000282598 • (661) 377-0308 <br />❑ D/K DIXON - 7300 Chevron Way ' Dixon, CA 95620 • CATUM12602 • (707) 693-0008 <br />❑ DEMENNO/KERDOON • 200D N. Alameda Street a Coi pion, CA 90222 • CATOM13362 • (310) 537-7100 <br />❑ EVMAGREEN ENV. • 4139 N. Valentine Ave. • Fresno, CA 93722 • CAD982448882 • (510) 795-4400 <br />MOS ENVIRONMENTAL - 1515 S. River Road • W Saaamento, CA 95691 • CAD044003558 • (916) 371-5747 <br />❑ SAN JOAQUIN FILTER RECYCLING • 14287 E. Manning Ave. • Pedier, CA 93648 • CAL000102751 • (559) 498-0240 <br />❑ ALTERNATE FACILITY <br />RECYCLED <br />CLEUIL, YSFD ANTIFREEZE AND ORT WATER WASTE STREAMS ARE This h w Cersty Ihm the sbW named articles are properly dantlea de%ribpd, padwgsd marked <br />LARGES RAT OUR OF TER COMPANY D WESTERN/K UNITED <br />ST THE and la efed. aM are in Pieper COrMMIOn Id 1,011 SWn, xcordirg 10 the appliceO reQuta6m, of <br />LARGEST RECVCLfiR OF USED 011. IN THE WESTERN LINKED STATES. the Oepertmern Of Transtio,"I <br />'I HEREBY CERTIFY THAT I HAVEMOT MIXED THIS WASTE WITH ANY /) <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN IOW RPM.. X A 10-31.Z1111 <br />AND THATTHE WASTE DOES NOT CONTAIN ANY PC.Er&. //(� WgTONE////q /�TUpE q <br />'I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X i�1:i1Y1 a,�-_-,� �rXw.Ga70� <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES, OR <br />CONTAINS ANY P.C.B'S. C; PRIM NmvE ' " <br />