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zr8 09:10 From:ASBU ENVYRONMENTAL 15104758849 1E098F01899 P.1'1 <br /> f4R SERVICE CALL: SERVICE ORDER <br /> DIXON OFFICE FpRwt w0.An90ik B lRE1 1tM7J <br /> 1•800.7-dSeuRY SERVICE ORDER NO. <br /> UNION CI7YQFFICE� ' N975770 <br /> r-EB8 803 B8d4 r `�r, _— AM <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 SOUTH BANTA FE, COMPTON,CA 90221 <br /> H 1-314.888-3400 <br /> a tRACY HYUNDAI TRANSPORTER EPA 9CAD02827703B. <br /> o ;5480 HAGLEE I-006D :3A8O NAGLEE Rt:?G1D <br /> T (20T) 835-6628'RACY,CA T5304 TRACY CA 9531154a <br /> CUSTOMER PURCHASE ORDER 0 ROUT-En TRUCK"# CONTACT NAME ORC R TAKEN 6Y HALIDES <br /> T A079 MUST UP,rAYM SCHE DULF-1) <br /> DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPAA NiFMT <br /> CAL 00029 Z,93�� <br /> PART# DESCRIPTION QTY UNIT <br /> � PRIQTY PJU TOTAL <br /> H( U GASOLINE <br /> O USED ©I " �. <br /> Cr les Str•reQt_5a <br /> .�_-. . _ Y FROM THIS TOTAL., ." r <br /> CHECK# PLEASE PA S SERVICE ORDER <br /> WASTE DISPOSAL INFORMATION <br /> NONaRCRA HAZARDOUS WASTE,LIQUID(USED OILAIIXED OILSI`NO PLACARDS REQUIRED" STATE COPE 221 <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED" STATE CODE <br /> OTHER: <br /> DESIGNATED TSDF. <br /> NICFR. 33 <br /> RNATE TSDF: � <br /> 4 WesternAvenge, Union City, CA 94587(5'10)487-9277 <br /> J: EMPTY L)RUMS: FACII,JT _. B5C <br /> GENERATOR WASTE GERTIFICATION <br /> PLEASE CHECK THE APPROPRIATE BOX <br /> m+ia is!a eenfly that the Wigle deecrihed abotre la Drootiey classified,doscrihad,pwo aged,mark#4 end labeled,and lain or traneponetien,eacc-di to• <br /> and federal regulations.By eigning below i 8134 hMgkry certify that: pr'eoar Can�tlen( ng ppllcaht4 Butte <br /> (Waste1 oat generator/Customer MUST check ONE of the following three boxes) <br /> D <br /> 0t)1 hays not allaed any or the waste daseribad above WM any ether hazardous waste,the total halide content is LES$than 1,400 ppm,and the waste toga nvl contain any PC�3.t have <br /> complied wain tins have erovA of Lha apptioabie Callforrria used Pit msnagemegt fetl.1000nn to determine this Is true.l agree to accapt the addidonkl chargee for the dl#pastil of this waste <br /> ii the Information 1 have provided abn�e this waste Ie hlcortnck <br /> 0 112)i have not mixed any Of the washy de—ri d above witn any 4hhsr hazardous wa.ta,the total halide content it GREATER than 1,099 ppm,anti tha wazio does not contain any PCEd.1 <br /> have prev!ded proper decumenti dQvi to Asbury prtvincin ental Ssr'neee to rebut the pnisumpilen lknt this weete was mixed vAth otter haiardotm wast*,I agree In sed■Pt the Additional charges <br /> for the disposal of thin waste if the 41forr"10n I have provided about this wairm is incorrect <br /> Q sal TMs 4raaha is tram..t•nk which lochs i ante oil lrom househ4td"ao.ibYouraelr'wiY)andfnr condidonatly oxampt small cluentlty oeneralor I(XSdd)sources,T4 the best of my <br /> kowlatigo.tha only wabta air co nod in my Ply!CESOG collection ten*is e010Y If41n DlY and/or CE$4G seurEes,I have not mined this wattle as w to Arty other hazardous waelo or <br /> waata ail Pont other: rhe to rccewt the adelitlonal chergea fo+diepoeal of egg waste it tiro Intormeaan I have provided about this waste Is iAcorreCt <br /> ,Ni generators/customers MUST read the fallowing text and lock the associated ho <br /> Q 041 If I am a r"m g4ndty paneratof,I<artlf)I that I have a pnMfsln In place to reduce,the volume and foaitity nT trade penaratt d,yythtdsgsn.r have dutenminad to be economically <br /> prantig3bla and Mor Vha•e bolartsd the predicable method of treatlnant,Owego,or d4meal cumanily avatltbla to ma-hichInKFoirnizea toe pr6aent and future threat to numan life and <br /> th4 4a•4onment Crr,If 14m a small quantity 6sneretor,I have meds a goad faith.Hortto minlnuatf My Walls yensraddtrt <br /> to dr and aatadt the mto management maehod that Is a.4010a.4010.theord <br /> Customer Signature Dater. ,t <br /> :Dyv��Signature"' Date <br /> Print Drivers N0,, 6 <br /> DEC-17-2008 09: 17AN From: 15104758849 ID: Page:001 R=95,' <br />