Laserfiche WebLink
IRJul-20-1i 08:48 from-DK Dixon/A V 17076782338 T-831 P 002/002 F-027 <br /> SERVICE ORDER <br /> fC pal <br /> 1 No. N 658182 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S. SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 ❑ 13101886-3400 <br /> DIXON UNION CITY <br /> 1-000-727-2879 'EPA CAD020277036 .1 68.60348544 <br /> DATE ONETIME PICK UP EI YES or WIND <br /> CUSTOMER RESIDENCE O YES or IN NO <br /> BILLING ADDRESS CONTRACT CUSTOMER (YES or ❑ NO <br /> .PLEASE PAY FROM THIS <br /> SERVICE'ORDER <br /> PHONE �!)q± 9y8•�+�L� CONTACT CUSTOMER NUMBER SRNGS�L_ <br /> CUSTOMER EPA N ? _ AMOUNT <br /> JOB SITE ADDRESS CHECKNUMBER <br /> PO.NUMBER <br /> CROSStSTREETS 'f CASH RECEIVED <br /> IAMOUNp <br /> NOTES: .,COMMODITY- f/LA - <br /> f <br /> HALIDES.__., L,�,�(lJ PPM• <br /> NON•RCRA HAZARDOUS WASTE,LIQUID(USED QILJMIXED,OILS)STATE,CODE, 221 <br /> "NO PLACARDS REQUIRED- _ <br /> ❑ 'NON-RCM HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE 133.E- <br /> -NO PLACARDS OR MARKINGS REQUIRED' SERVICE DATE q ur�aa <br /> DRUMS DRUM SIZE � <br /> ❑ OTHER <br /> MANIFEST NO. AOSeIa 247.3.I TLS NO.OF GALLONS <br /> DRIVER J& &&L <br /> TRUCK N0.8 HL. --5'111.7 7 <br /> O NONHAZARDOUS DRAINED USED OIL FILTER- <br /> 0 COMMERCIAL FILTER RECYCLING,33210 Western Avenue,Unlon Clty,CA,510467-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ BAKERSFIELD TRANSFER INC.-1620 E:,Brunde8e Ln,P BakatBtlald,CA,93307,}CALODO262598 0.16611 377-0308 <br /> ❑ EAYSIDE OIL 11,INC..210 Eminal Street-Santa Cruz,CA 95060-CAD086OW222-(8311427-3773 <br /> ❑ EVERGREEN ENV..4139 N. Valentine Ave. -Fresno, CA 93722.CAD982445882-(510)7954400 <br /> ❑ DEMENNO/KERDOON -2000 N.Alameda street-Compton.CA 90222•CATOe0o133S2-(310)537.7100 <br /> � IGIK DI,XON7400 C1levrorl Wily A Alaon,_CA 95CAT080012602-(707)493 6008 <br /> ,RAMOS:ENV0tOMVEII.TAL}11615 T�$:R"r R620!oadW.;1Sapremenlo,C{7,.956B+..C�D04N003556,r(916)371,-5747 <br /> ❑. ASBURy ENVIr1ONMENTq,L$�RVf , -2549 S..Wti Avenue-C111COl CA 85928 -CAIAODS27844 <br /> ❑ ALTERNATE FACILITY_ - <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE If is MPenl .Mal the eoare named amclea ere properly ccorcii Op.oche a e applicable <br /> pedc09ed,mmG of <br /> RECYCLEP'AT OUR 91STERiCOMPANY'DENENNOIKERDOON THE,.. and labeled,and are In proper oq loon for eansponadon,ik,:,0 n9 N the appllcaale re9WetWna of <br /> LARGEST RECYOLEP,DF,USED OIL4141NE WESTERN.uNIMD STATES,..rinf Oepanm7run-1 HEREBY CERTIFYTHAT I HAVE NOT•MIXED THIS WASTE WITH ANY �ANNDDTHAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.T THE TOTAL MALIDE$ARE LESS MAN 1oaO P.P.N.; XCU MER SIO a aTc <br /> -1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL IF THIS WASTE IS OVER 1000 RPM,TOTAL HALIDES, OR X INT NAME <br /> CONTAINS ANY P.CA'S. <br />