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Oct. B. 2012 4:07PM SERVICE ORDER"' No, 3973 P. 4
<br /> FOR SERVICE CAU_: '-
<br /> DIXON OFFICE .. "�':<<.:: FQ".UI.AE507ril IPPl 1W7(
<br /> 1-800-Y ASBURY - SERVICE ORDER NO.
<br /> UNION 017Y OFFICEEWA-
<br /> 1-888-603.6844 :
<br /> CHICO OFFICE'
<br /> 800.733.8043 " • -' ' .... '. ,.,
<br /> -
<br /> :; 'A3Sbfiv�NVIFiONNIENT'A['$ERVICES
<br /> S 1.300 SOUTH SANTA FE,COMF'TON,CA 90221_ `
<br /> ' . A1AXyyt CRANE WbRK$ :.1.,r . 1-316-05"00 . ' MAXIM CRAh E1lA' pAIFZEMr:""
<br /> A,; 2S7;'6PARIPOSdI ROAD• '.,.-• " • TRANSPORTER EPA#CAD028277036 • ' - GR� • ,
<br /> PGEIOX ON
<br /> T ' SiOCKfOt�CA£5:05. - '-1wAPORTE,'7XT7572
<br /> 0 i>?181452. 961 (18i)':471Z1796;
<br /> CUSTOMER.0 PURCHASEORDER# ROUTE TRUC # CONTACT NAME' ORDERA BHALIDES
<br /> IJIiXBq? ..
<br /> 1-12 . . . S6. .:. SCHEDULE-0 ,. .' ,
<br /> DA REQUIRED DATE ENTERED. NEXT SERVICE DATE CUSTOMER EPA:# q1 'MA`NIIFEST#
<br /> .071412012 4Hu^OM. . - . ' CAD88236%41. QC) r._ 6L' l 66'_. �FK
<br /> PART# •. DESCRIPTION QTY IUNITPRICE QTYPIU TOTAL '
<br /> NVDSG : USED OIL 5EgVICE CLSHARGE;, •.;, 1 ;' :: . . > Jr • ' u ., " ;'
<br /> IND:;.:.:' :•USED.GIL1 F•RD(E[].gI ;, .. ... .. 365- : •
<br /> TOTAL
<br /> casHRl;cp; CHECKU 'PLEASE P/ 'FROM.THIS SERVJCE ORDER
<br /> WASTE'DISPOSAL INFORMATION
<br /> NO147RCRA'HAZARDOOS WASTE,LIQUID(USED OIL MIXED OILS)'NO PLACARDS'REQUIRW STATE CODE-221
<br /> NON-RCR.(1`HAZARDQUS WASTEI LIQUID(ETHYLENE GLYCOL SOLUTIONSJ'NO PLACARDS REQUIRED• STATE CODE_
<br /> X " D1:SIGNATED'`fS R RAMOS-ENVIRO CENTAL 15105:RIVER RD,Vd:SACft4&4ENT0 CA 95w119iSw1.6747C.i00bd003556
<br /> ALTERNATE TSDF: •.i
<br /> SA RECYCLING: '.33270 Weahrn Avenue,Unibn City,CA 94507 1-510-487-9277 •'
<br /> DF? M5 PN: EMPTYDRUM$: " FACIUTY:. BSG
<br /> GENERATOR'WAS •ECEItT.JFI ATION ' '• •,. '
<br /> -'.:. ; ; .•.• , . . 's',>: : P1;EASE CHECK THE APPROPRIATE @C+)t ': ''i .. •. . : . [ r. •:
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