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.✓xY4i 1, � � �� .. <br /> SERVICE ORDER <br /> NO. N 30013.2 <br /> ASBURY ENVIRONMENTAL SERVICES 4, <br /> 2100 NORTH ALAMEDA STREET.❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN OFFICE <br /> 1-800-748-5744 j EPA NO.CAD028277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE - ✓J ONE TIME PICK UP ❑ YES or p.-NO�� <br /> CUSTOMER ' 9'oz7 RESIDENT ❑ YES or ❑ 'NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ❑XCS or ❑ NO <br /> PHONE )k 3 `'.Q_t COIQTACT ACCOUNT NUMBER <br /> CUSTOMER EPA q �� fes`' - �? " s " AMOUNTS. 1. <br /> JOB SITE ADDRESS ' /`+� !� sK✓ ''� P'�";fqq CHECK NUMBER <br /> ,ji,�:-/F•` - (,:.. Ir �J✓ P.O. NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> (MIWt(i) <br /> NOTES: COMMODITY <br /> HALIDES P.P.M. <br /> ❑COMBUSTIBLE LIQUID, N.O.S., <br /> (Used Oil/Contaminated Petroleum Products), NA1993, PGIII <br /> ❑RQ, ENVIRONMENTALLY HAZARDOUS SUBSTANCES, LIQUID, <br /> //NOS, (Ethylene Glycol &Water), 9,.UN3082, PGIII NEXT SERVICE DATE <br /> m-U.S.DOT DESCRIPTION: lil7r^.6 R' " fc,-'.r.-r!!=r. r�..+c""'� !-s_. DRUMS <br /> MANIFEST NO. r • �.� •ff /� NO.OF GALLONS . `---7 <br /> DRIVER f. ,ar F TRUCK NO.&RTC` <br /> _ .DESIGNATED TSDF: ❑--ALVISO INDEPENDENT OIL-5002 Archer St.-Alviso, CA 95002 <br /> ❑ BAYSIDE OIL II, 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. - Fresrio,CA 93722 <br /> -- RAMOS ENVIRONME TAL- 1515 S. River Road -W. Sacramento, CA 95691 <br /> t This Is to certify that the above named articles are properly classified,described, packaged, - <br /> marked and labeled,and are In proper condition fortransportation,according to the applicable <br /> regulations of the Department of Transportation,- <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED X <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE cu�TAMEHsICNATURE "DATE' :. <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. .! . y <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL 40X <br /> CHARGES FOR LEGAL DISPOSAL IRTHIS WASTE . <br /> IS OVER 1000 P.P.M.TOTAL HAIJDESjPR%tf'1WE �^ '. <br />