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" ✓ _ = SERVICE ORDER <br /> No. N 273676 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (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 y 9 ONE TIME PICK UP ❑ YES or O <br /> r <br /> CUSTOMER RESIDENT ❑ YES or N <br /> ( 7 .✓ <br /> BILLING ADDRESS CONTRACT CUSTOMER YES or O NO <br /> PHONEC�&Lh-V-S- CONTACT ACCOUNT NUMBER P )7- 3 'O 7 <br /> CUSTOMER EPA M (f/WZ /�/ D <br /> /6/ 152 AMOUNT So , <br /> JOB SITE ADDRESS 7l7//, �u✓/ en✓ G 1A +//� CHECK NUMBER <br /> OLIf�O✓1 l !+ l� 5-i)LO6 P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED CAMOUNn <br /> COMMODITY 11V /9*1' <br /> NOTES: <br /> HALIDES P.P.M. <br /> OMBUSTIBLE LIQUID,N.O.S. (USED OILS&MIXED OILS) <br /> NA 1993, PG III <br /> ❑ ETHYLENE GLYCOL NON-RCRA NEXT SERVICE DATE <br /> HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED <br /> ❑ U.S. DOT DESCRIPTION: DRUMS <br /> MANIFEST NO. / U 7(O X / NO.OF GALLONS <br /> DRIVER Imo/ - TRUCK NO.&RT l� <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL- 5002 Archer St. -Alviso, CA 95002 <br /> ❑ BAYSIDE OIL II, INC.- 210 Encinal St. -Santa Cruz, CA 95060BC STOCKING- 7300 Chevron 9 Com/ <br /> ❑ DeMENNO/K ROOON 2000 N AlDixon, <br /> Alameda Compton,St.CO <br /> Compn , CA 90222 <br /> - 3256 N. Marks St. -Fresno, CA 93722 <br /> /C- RAMOS ENVIRONMENTAL- 1515 S. River Road-W. Sacramento, CA 95691 <br /> - This Is to certify that the named articles are properly classified, described, packaged, <br /> marked and labeled,a ar In proper c ndi' n for transportation,according to the applicable <br /> regulations of the D art nl of Trans n. <br /> 1 HEREBY CERTIFY THAT I HAVE NOT MIXED X <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE COST MER SIGNATURE ATE <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL X ud <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE PRINT NAM <br /> IS OVER 1000 P.P.M.TOTAL HALIDES <br />