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kyung park 209 835 3731 p.9 <br /> • - FORM NO.AES003 <br /> - _- SERMICE ORDER <br /> — — — No. N 71;31;75 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE D COMPTON,CAUFORNIA 90221 a (310) 8863400 <br /> EPAk CAD0282770BG <br /> DIXON UNION CITY CHICO FRESNO <br /> 800-727-2879 888-603-8844, 800-733-9043 8136.994-8937 <br /> DATE ONETIME PICK UP ❑YES or ❑NO <br /> CUSTOMER - _ _ RESIDENCE ❑YESor ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑ YES Or O NO <br /> FiC31L,[I THIS <br /> SERVICE <br /> PHONE CONTACT CUSTOMER NUMBER <br /> CUSTOMER EPA a rj - AMOUNT <br /> JOB SIE ADDRESS - -7""r - CHECK NUMBER <br /> T <br /> PO.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (AMOUNT) <br /> NOTES: COMMODITY. - <br /> HALIDES P.RM. <br /> ❑ NDN-RCRA H9 IRDOUS WASTE,LIQUID(USED OILIMIXED OILS)STATE CODE 221 <br /> •NO PLACAIRWI REWIRED" / <br /> NON-RCRA HN ARDOW WASTE,UOUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE <br /> I` •NO PLACARD OR MARKINGS REQUIRED• NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFESTNO. _ NO.OF GALLONS _7 <br /> DRIVER — TRUCK NO.8.RL ' <br /> ❑ USED OIL AND CASOUNE FILTERS <br /> ❑ SA RECYCLING 33210 Western Avenue.Union City,CA 94587 1-510-487-9277 <br /> ❑ ALTERNATE F9 1311­1117Y <br /> DESIGNATED TSD ❑ ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chico,CA 95928•CALMOB27844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO It,LLC•1618 W.51h SL,Chico,CA 95928•CADE80694103•(800)7339043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-FORTUNA•200 Dinsmore Or., Fortuna,CA 95540•CAL930256136•(800)733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL000282598•(661)377-0308 <br /> ❑ D/K DIXON•7300 Chevron Way•Dbmn,CA 95520•CATO60012802-(707)693-6008 <br /> DEV REGREEN EENV.4139�N.Alameda AtlVee St Fresno,CA 93722-CCA A2D9824468�(550 795-44UU 7-7100 <br /> ❑ RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD044003556•(916)371-5747 <br /> ❑ WORLD OIL-SAN JOAOUIN,LLC•14287 E.Mann!ng Ave.•PaT118G CA 93648•CAL000102751 •(559)498-0240 <br /> ❑ ALTERNATE FACILITY <br /> USED OL,USED ANTI1 REEZE AND OILY WATER WASTE STREAMS ARE This is to cer6ly that the above named oracles are property cleaailied.described,packaged,morb <br /> RECYCLED AT OUR ISTER COMPANY DEMENNO/KEROOON THE and lab ted and are in proper condition for transporboon,according to the applicable regulations <br /> LAHGEST RECYCLER P USED OIL IN THE WESTERN UNITED STATES. the Oepartmera of Truml) naeon. <br /> 11 HEREBY CERTIFY T AT I HAVE NOT MIXED THIS WASTE WITH ANY —_ <br /> OTHER WASTE,THAT E TOTAL HALIDES ARE LESS THAN loop P.P.M.: X S ER �' D^TE <br /> AND THAT THE WASTE ES NOT CONTAIN ANY P.C.a'S.. <br /> 9 FURTHER AGREE TC ACCEPTTHE ADDITIONAL CHARGES FOR LEGAL <br /> DISPOSAL IF THIS W STE 1S OVER 1000 P.P.M.TOTAL HALIDES, OR X FWM NAVE _ <br /> CONTAINS ANY P.C.WS - " <br />