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/ • <br /> YVKM NV.NC�WJ <br /> a / SERVICE ORDER <br /> / a== — <br /> _ —" No. N 665761 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE ❑ COMPTON,CALIFORNIA 90221 o (310)886-3400 <br /> DIXON UNION CITY <br /> 1400.727-2879 EPA CAD028277036 1490-60343844 <br /> DATE / ONETIME PICK UP DYES or ❑NO <br /> CUSTOMER !^� ? y r r/y./ RESIDENCE ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES or ❑ NO <br /> PLEASE PAY FROM THIS <br /> SERVICE ORDER <br /> PHONE !� 1 ('I. Nic^ (7 CONTACT_ �,r 1,., CUSTOMER NUMBER <br /> CUSTOMER EPA N �`` -��ql/r?�S7 Z!J 5 AMOUNT <br /> JOB SITE ADDRESS J tI x•� �. . 1�{�.tiZZ_-.GZ-. CHECK NUMBER <br /> r' - �`/ �7 rCl �, P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY /.. )/ 't' } <br /> HALIDES -4"-/i.'. �. P.P.M. <br /> 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. S �� �'�= C' �.� NO.OF GALLONS <br /> DRIVER %a �E' 1RUCK NO.&HT. 75�� G <br /> ❑ NONHAZARDOUS DRAINED USED OIL FILTER <br /> ❑ SA RECYCLING, 2035 E.15-Street,Los Angeles,CA 90021 1-800-645-3458 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ BAKERSFIELD TRANSFER INC.-1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ SAYSIDE OIL II,INC.•210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(631)4273773 <br /> ❑ EVERGREEN ENV.•4139 N.Valentine Ave. •Fresno,CA 93722•CAD982446882• (510)7954400 <br /> L�DEMENNO/KERDOON •2000 N.Alameda Street•Compton.CA 90222•CATOB0013352•(310)537-7100 <br /> ❑ D/K DIXON•7300 Chevron Way.Dixon,CA 95620•CAT080012602.(707)693£008 <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•CALD00827844 <br /> ❑ ALTERNATE FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certdm <br /> Y that the above named amides are properly dassified,described,packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEM ENNO/KERDOON THE and labeled,and are m proper .onddion for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. aw Department of Transporlatio . <br /> HEREBY <br /> WASTE,THAT THE TOTAL HALIDES AREAT I HAVE NOT MIXED HIS WASTE THAN 10ITH 000 PPM.;OTHER X "' /J— <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S., C STOMEn SIGNATURE DATE <br /> •1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR <br /> CONTAINS ANY PC B'S. PRIM NAME <br />