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:SERVICE ORDER <br /> �Rn � <br /> NO. N 281227 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> a 2100 NORTH ALAMEDA STREET o COMPTON, CALIFORNIA 90222 a "(310) 886-3400 <br /> SAN DIEGO OFFICE L NORTHERN OFFICE <br /> 1-800-748-5744 EPA NO.CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE 7-2{,3/.��;-Z2 ONE TIME PICK UP 0 YES or 0--R <br /> CUSTOMER 4 ! � -3 -} RESIDENT ❑ YES or El—NO <br /> BILLING ADDRESS CONTRACT CUSTOMER 0 VES or 0 NO <br /> r <br /> PHONE':x42'4;3 VS.43 CONTACT ACCOUNT NUMBER <br /> CUSTOMER EPA M AMOUNT > <br /> JOB SITE ADDRESS CHECK NUMBER <br /> P.O.NUMBER <br /> r <br /> CROSS STREETS CASH RECEIVED <br /> NOTES: COMMODITY <br /> HALIDES P.P.M. <br /> ff�6OMBUSTIBLE LIQUID,N.O.S. (USED OILS&MIXED OILS) <br /> NA 1993,PG III <br /> 0 ETHYLENE GLYCOL NON-RCRA <br /> HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED NEXT SERVICE DATE <br /> 0 U.S.DOT DESCRIPTION: DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER 1",.✓� T TRUCK NO.&RT <br /> __DESIGNATED TSDF: ❑- ALVISO INDEPENDENT OIL- 5002 Archer St. -Alviso, CA 95002 <br /> ❑ BAYSIDE OIL Il, INC. - 210 Encinal St. -Santa Cruz, CA 95060 , <br /> ❑ BC STOCKING - 7300 Chevron Way-Dixon, CA 95620 <br /> ❑ DeMENNO/KERDOON - 2000 N. Alameda St. - Compton, CA 90222 <br /> ❑,/OCS- 3256 N. Marks St. -Fresno, CA 93722 <br /> I� RAMOS ENVIRONMENTAL- 1515 S. River Road-W. Sacramento, CA 95691 <br /> This Is to certify that the above named articles are properly classified, described, packaged. <br /> marked and labeled,and are In proper condition for transportation,according to the applicable <br /> regulations of the Departmen�of Transportation. 1 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED X �. 1 �s�--.- <br /> THIS WASTE WITH ANY OTHERYJASTE,AND THE <br /> TOTAL HALIDES ARE LESS THAN 1 o00 P.P.M. CUSTOMER SIGNATURE J DATE <br /> 1 FURTHER AGREE TO ACCEPT THE ADDITIONAL X Ii�5 <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE ! r f r <br /> IS OVER 1000 P.P.M.TOTAL HALIDES PRINT NAME - <br />