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kyung park 209 835 3731 p.11 <br /> ' • - • FORM NO.AESOD3 <br /> SERVICE ORDER <br /> F l 5. .,: <br /> NO. IN I <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 S.SANTA FE AVENUE O COMPTON.CALIFORNIA 90221 O 1310)586-34W <br /> EPA#CAD028277038 <br /> DIXON UNION CITY CHICO FRESNO <br /> 800-727-2879 888.603-8844 800-733-STEW 866.994-6937 <br /> DATE — ONETIME PICKUP ❑YES or ❑NO <br /> CUSTDMER - RESIDENCE ❑ YES or❑ NO <br /> CONTRACT CUSTOMER ❑YES Or ❑ NO <br /> BIDING ADDRESS _ TI ,:p <br /> PHONE WNTACT CUSTOMER NUMBER - <br /> AMOUNT <br /> CUSTOMER EPA N <br /> J05 SITE ADDRESS t _ - _ - - CHECK NUMBER <br /> r <br /> P.O.NUMBER <br /> CASH RECEIVED <br /> CROSS STREETS )AIADUNn <br /> NDTES:_ <br /> COMMODITY <br /> HALIDES_.. <br /> Ek.�`NON-RCRA H DOUS WASTE,LIQUID(USED OIUMIXED OILS)STATE CODE 221 <br /> •NO PLACARDS QUOTED• <br /> ❑ NON-RCRA HAZA IDOUSWASTF,LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE NEXT SERVICE DATE <br /> No PLACARDS MARKINGS REQUIRED" <br /> DRUMS DRUM SIZE <br /> O OTHER <br /> NO.OF GALLONS <br /> MANIFEST NO. �- <br /> TRUCK NO.&RT. <br /> DRIVER - <br /> ❑ USED OIL AND W 50LINE FILTERS <br /> ❑ SA RECYCLING, 3210 W'eslern Avenue,Union City.CA 94587 1-510487-9277 <br /> ❑ ALTERNATEFAC rTY <br /> DESIGNATED TSDF: ASBURY ENVIRONMENTAL SERVICES•2549 Scot Avenue•Chlca,CA 95MM•CALD00827844 <br /> ASBURY ENVIRONMENASBURY ENVIRONMENTALSERWCES-FORT'UNA 200 Dinsmore DcS,Fortuna,CA 955408•CALLS3002561136•(NO) 773390443 <br /> BAKERSFIELD TRANSFER INC. •1620 E.Brundage Ln.•Bakersfield,CA 93307•CAL0002825M•(561)377-0308 <br /> D/K DIXON•7300 Chevron Way•Dixon,CA 9662D•CATOSMIZ602•(7071693-6008 <br /> "DEMENNO/KE-R000N•2000 N.Alameda Street•COmDton,CA.90222•CATOBOD13352•(310)537-7100 <br /> EVERGREEN ENV.•4139 N.Valentine Ave.•Fresno,CA 93722•CAD982446882•(510)795-4400 <br /> RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD00003556•(916)371-5747 <br /> 71 WORLD OIL-SAN JOAQUIN,TIC•14287 E.Manning Ave.•Parlier.CA 93646•CAL000102751 •(559)498-0240 <br /> ALTERNATE FACILITY <br /> USED OIL,USED ANTIFR E AND OILY WATER WASTE STREAMS ARE This is to Certify fiat the above named aecleS are properly classified, IIIc a ed,able ra ul marked <br /> RECYCLED AT OUR SI TER COMPANY OEMEN NO/KERODON THE and labeled,and are pac <br /> in proper condition for transportation,according to Ilte applicable fe9ulaaals of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the CBParorter4 of TIOsponai'm <br /> •1 HEREBY CERTIFY T I HAVE NOT MIXED THIS WASTE WITH ANY - J �T <br /> OTHER WASTE,THAT TH TOTAL HALIDES ARE LESS THAN 1000 P.P.M.: X TCMER NA7ur� <br /> ANDTHATTHEWASTE ES NOT CONTAIN ANY P.GB'S.. • - <br /> •1 FURTHER AGREE TO A CEpTTHE ADDITIONAL CHARGES FOR LEGAL X - <br /> DISPOSAL IF THIS WAS E IS OVER 1000 P.P.M.TOTAL HALIDES, OR FRNTNAME <br /> CONTAINS ANY P.CR S. <br />