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SERVICE ORDER <br />Ivo. N 423120" <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH ALAMEDA STREET ❑ COMPTON, CAUFORNW 90222 ❑ )310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CAUFORNIA <br />1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br />LRnaga a -o I oa <br />DATE <br />CUSTOMER�- <br />BILUNGADDRESS <br />PHONE _ CONTACT <br />CUSTOMER EPA# ... PACOQ5702$3 <br />JOB SITE ADDRESS L <br />CROSS STREETS <br />NOTES: <br />u NUN-HCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE <br />'NO PLACARDS REQUIRED* <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQUIRED* <br />F] OTHER <br />MANIFEST NO. <br />❑ NONHAZARDOUS DRAINED USED OIL FILTER <br />❑ COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />ONETIME PICK UP <br />RESIDENT <br />❑YES o,);L❑ NO <br />❑ YES Drip NO', <br />CONTRACT CUSTOMER ❑YESor, f;I NO <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />(AMOUNT) <br />COMMODITY <br />HALIDES P.P.M <br />NEXT SERVICE DATE <br />DRUMS DRUM SIZE <br />NO. OF GALLONS 1/0 <br />TRUCK NO. & RT. <br />DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL - 5002 Archer Street • AlvlSO, CA 95502 • CAI000161743 • (408) 262-1360 <br />❑ BAYSIDE OIL II, INC. • 210 Encinal Street • Santa Cruz, CA 95060 • CAD088838222 • (408) 427-3778 <br />❑ ARTESIAN OIL RECOVERY INC. • 2306 Magnolia Street • Oakland, CA 94067 • CAL000233905 • (510) 839-4234 <br />❑ DeMENNO/KERDOON • 2000 N. Alameda Street • Compton, CA 90222 • CAT080013352 • (310) 537-7100 <br />❑ OCS - 3255 N. Marks Street. • Fresno, CA 93722 • CAD980673842 • (559) 485-5496 <br />0 RAMOS ENVIRONMENTAL • 1515 S. River Road • W. Sacramento, CA 95691 • CAD44003556 • (916) 371-5747 <br />❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue • Chico, CA 95928 • CAL000827844 <br />❑ ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE This is to certity that the above named articles are properly classified. described, packaged, marked <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. and labeled, and are in proper condition for transportation, according to the applicable regulations of <br />the Department of Transportation <br />M HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X/— <br />AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE <br />DATE <br />•I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL _ <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES, OR X <br />CONTAINS ANY P.C.B'S. <br />