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m <br /> _ 7 SERVICE ORDER <br /> M.. <br /> No. N 297350 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 o (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN OFFICE <br /> 1-800-748-5744 EPA NO.CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE-4I � - % ONE TIME PICK UP ❑ YES or Q'NO <br /> CUSTOMERF' 'f -'r^yam RESIDENT ❑ YES or a-,TO— <br /> BILLING ADDRESS CONTRACT CUSTOMER f -Ylr6 or ❑ NO <br /> PHONEZJ 4"4-.If, /t:.;i - rf�L� 4 CONTACT ACCOUNT NUMBER <br /> CUSTOMER EPAM '� r'''(� ' � .i � -" AMOUNT <br /> 1 '2 <br /> JOB SITE ADDRESS VY t'` f.. :! '"i < CHECK NUMBER <br /> P.O. NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (ANourrr) <br /> NOTES: COMMODITY — <br /> HALIDES P.P.M. <br /> GICOMBUSTIBLE LIQUID, N.O.S., <br /> (Used Oil/Contaminated Petroleum Products), NA1993, PGIII <br /> ❑RO, ENVIRONMENTALLY HAZARDOUS SUBSTANCES, LIQUID, <br /> NOS, (Ethylene Glycol &Water), 9, UN3082, PGIII NEXT SERVICE DATE <br /> ❑ U.S.DOT DESCRIPTION: DRUMS <br /> MANIFEST N0. <br /> I :.1 .'� .f NO.OF GALLONS - �"L... - <br /> i <br /> DRIVER } TRUCK NO.&RT •I <br /> ---DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL-5002 Archer SL-Alviso, CA 95002 <br /> ❑ BAYSIDE OIL 11, INC. - 210 Encinal St. -Santa Cruz, CA 95060 <br /> ❑ BC STOCKING - 7300 Chevron Way-Dixon, CA 95620 <br /> ❑ OeMENNO/KERDOON- 2000 N. Alameda St. -Compton, CA 90222 <br /> _ ❑ OCS-3256 N. Marks St.-Fresno, CA 93722 <br /> t@rRAMOS 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 Department of Transportation.,- <br /> AT I HAVE NOT MIXED X <br /> ti <br /> NAY OTHER WASTE,AND THE CUSTOMER SIGNATURE DATE <br /> a LESS THAN 1000 P.P.M. <br /> R ,n r TO ACCEPT THE ADDITIONAL <br /> 'f'GAL DISPOSAL IF THIS WASTE <br /> M.TOTAL HALIDES PRINT NAME <br />