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FORM NO. AES003 <br />SEFIVICE ORDER <br />NO. N 607826 <br />ASBURY ENVIRONMENTAL SERVICE:!il <br />1300 S. SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 ❑ (310) 88 �-3400 <br />SAN DIEGO OFFICE NORTHEF, N CALIFORNIA <br />1-800-748-5744 EPA CAD028277036 1 800-727-2879 <br />DATE' /S _LI) 7 <br />CUSTOMER.:r . y-� *'c..,_.c _r -e.t �./`!.-•f f <br />BILLING ADDRESS '.r; <br />PHONES'j d `t'l S , l 7 3 �� CONTACT <br />CUSTOMER EPA#� C�f�.?g90 s-'/9 <br />JOB SITE ADDRESS <br />CROSS STREETS <br />NOTES <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* <br />❑ OTHER <br />MANIFEST NO. <br />DRIVER h_ <br />❑ NONHAZARDOUS DRAINED USED OIL FILTER] <br />El COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />ONE' "IME PICK UP DYES or V'NO <br />REST{ ,ENCE ❑ YES or VNO <br />CONI RACT CUSTOMER /YES or ❑ NO <br />PLEt�SE PAY, ROM THIS <br />SEF.VICE ORDER44 <br />/ <br />CUSI DMER NUMBER ('-. 11-1 f <br />AMOL INT <br />CHEC K NUMBER <br />P.O. N JIMBER <br />CAST RECEIVED <br />(AMOUNT) <br />COMI IODITY tO ,l C) <br />HALIL ES "`f..r;Ii P.P.M. <br />NEXT SERVICE DATE. <br />DRUM S LIRUM SIZE <br />NO. C = GALLONS _ e[. <br />• � rte. <br />R TRUC NO. & RT. 7��,i of <br />DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL- 5002 Archer Street - Alviso, CA 95502 • CAL0001131743 . (510) 476-1740 <br />❑ BAYSIDE OIL II, INC. • 210 Encinal Street - Santa Cruz, CA 95060 - CADO88836222 • (408 427-3778 <br />❑ EVERGREEN ENV. • 4139 N. Valentine Ave. • Fresno, CA 93722 • CAD982-e•46E182 • (: 10) 795-4400 <br />❑ DEMENNO/KERDOON • 2000 N. Alameda Street • Compton, CA 90222 • CAT081)013352 • :310) 537.7100 <br />IDDIK DIXON . 7300 Chevron Way. Dixon, CA 95620 • CAT080012602 . (707) 6931-6008 <br />RAMOS ENVIRONMENTAL • 1515 S_ River Road . IN. Sacramento, CA 95691'. ('AD0440C 3556 . (916) 371-5747 <br />❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue • Chico, CA 9592£1 • CAL000 327844 <br />❑' ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. <br />*1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 PP. M.. <br />AND THAT THE WASTE DOES NOT CONTAIN ANY P. C.B'S.. <br />*1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES, OR <br />CONTAINS ANY P.C.B'S. <br />Loom <br />This is to certify that ffi�e ab 0 arced art Iles are prc -)erly classified, closcribed, packaged, marked <br />and labeled, _nd arerir� prop r c ridrt on far transporia' on, according to Ilhe applicable regulations of <br />the Depar6m tof Till on <br />¢ f <br />X <br />CUSTOMER SIGN URE DATE <br />X 1 <br />FITNAME <br />Z# XI SSV'ID 90CS C86 60Z XV3 ZT:4T LOOZ/LZ/LO <br />