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a=; SERVICE ORDER <br /> No. N 265729 <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 — '/ ONE TIME PICK UP ❑ YES or. [I NO <br /> CUSTOMER RESIDENT ❑ YES or ❑ NO <br /> BILLING ADDRESS CONTRACT CUSTOMER O,.YES or ❑ NO <br /> PHONE <br /> i'i(. CONTACT ACCOUNT NUMBER <br /> CUSTOMER EPA N °('/ / - > / AMOUNT <br /> JOB SITE ADDRESS 7 f L/ i CHECK NUMBER <br /> -_l z P.O.NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> IMaMI <br /> NOTES: COMMODITY <br /> HALIDES P.P.M. <br /> "ST COMBUSTIBLE LIQUID, N.O.S. (USED OILS&MIXED OILS) <br /> NA 1993,PG III <br /> ❑ ETHYLENE GLYCOL NON-RCRA <br /> HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED NEXT SERVICE DATE <br /> ❑ U.S. DOT DESCRIPTION: DRUMS <br /> y NO.OF GALLONS <br /> MANIFEST NO. -� - <br /> DRIVER TRUCK NO. &RT <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 /> ❑,SCS- 3256 N. Marks St. - Fresno, CA 93722 <br /> 1a RAMOS ENVIRONMENTAL- 1515 S. River Road-W. Sacramento, CA 95691 <br /> This is to certify that the above named articles are properly classified, described, package <br /> marked and labeled,and are in proper condition for transportation,according to the applicat <br /> regulations of the Department of Transportation. <br /> i <br /> I HEREBY CERTIFY THAT I:HAVE NOT MIXED X <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE CUSTOMER SIGNATURE DATE <br /> TOTAL HALIDES ARE LESS THAN 1000 P.P.M. / <br /> I FURTHER AGREE TO ACCEPT THE ADDITIONAL <br /> CHARGES FOR LEGAL DISPOSAL IF THIS WASTE / r <br /> PRINT NAME <br /> IS OVER 1000 P.P.M.TOTAL HALIDES <br />