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SERVICE ORDER <br /> No. N 251824 <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.CAD02a277036 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE �' Y' 7d ONE TIME PICK UP 0 YES or L3'N0 <br /> CUSTAER -� -S¢7� RESIDENT 0 YES or d NO <br /> BILLING ADDRESS CONTRACT CUSTOMER ',-F�YES or 0 NO <br /> CONTACT ACCOUNT NUMBER <br /> CUSTOMER EPA# < f!L R'7i2 2(`_ / ��` AMOUNT <br /> r� <br /> JOB SITE ADDRESS 1�/J C r' 72 CHECK NUMBER <br /> P.O. NUMBER <br /> CROSS STREETS CASH RECEIVED <br /> I,utourrrl <br /> NOTES: COMMODITY <br /> HALIDES P.P.M. <br /> A 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 /> MANIFEST NO. �'i' ' -�� ( �--'' NO.OF GALLONS -r <br /> DRIVER J/ TRUCK NO.&RT <br /> DESIGNATED TSDF: ALVISO INDEPENDENT OIL- 5002 Archer St. -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 /> ❑ DeMENNOIKERD00N - 2000 N. Alameda St. -Compton, CA 90222 <br /> ❑ OCS-3256 N. Marks St. - Fresno, CA 93722 <br /> 91 RAMOS ENVIRONMENTAL- 1515 S. River Road -W. Sacramento, CA 95691 <br /> This is to certify that the above named articles are property 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 /> I HEREBY CERTIFY THAT I HAVE NOT MIXED X - ' i,;�, <br /> THIS WASTE WITH ANY OTHER WASTE,AND THE ff <br /> 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 X <br /> IS OVER 1000 P.P.M.TOTAL HALIDES PRI ME <br />