Laserfiche WebLink
Attachment B: Used Oil <br /> FOR SERVICE CALL. SERVICE ORDER <br /> DIXON OFFICE <br /> 1-800-7-ASBURY — SERVICE ORDER NO. <br /> UNION CITY OFFICE <br /> 7-888-603-8844 __ <br /> CHICO OFFICE <br /> 800-733-9043 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 1300 SOUTH SANTA FE COMPTON.CA 90221 <br /> s <br /> e 1-310-886-3400 <br /> I TRANSPORTER EPA*CA0028277036 <br /> P <br /> E <br /> 0 <br /> 0 <br /> CUSTOMER It PURCHASE ORDER# ROUTE 1 TRUCK# CONTACT NAME ORDERTAKENBY HALIDES <br /> I <br /> DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# MANIFEST 7# <br /> J l- <br /> PART# DESCRIPTION QTY UNIT PRICE QTY PIU TOTAL <br /> TOTAL <br /> CASH RECD: CHECK# PLEASE PAY FROM THIS SERVICE ORDER <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OILIMIXED OILS)'NO PLACARDS REQUIRED' STATE CODE 221 <br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED' STATE CODE <br /> OTHER: <br /> DESIGNATED TSDF: <br /> ALTERNATE TSDF: <br /> SA RECYCLING: 33210 Western Avenue,Union City,CA 94587 1-510-487-9277 <br /> DRUMS PN: EMPTY DRUMS: FACILITY: BSC <br /> GENERATOR WASTE CERTIFICATION <br /> PLEASE CHECK THE APPROPRIATE BOX <br /> no, .m cenny Mn on.ww.neacnM4 shovei yrowny chs."mL Wfcnl W.o Nl a,li mX.ee an.IMneE.mo u m",vat condom ru uuul='luum..awmnq Io.ppNflEle sw. <br /> and Imonal raqu114m.9y upnmq halm 1 also IN.nby cern}that <br /> (Waste oil generator/customer MUST check ONE of the following three taxes) <br /> B/nt l n...roil—.ad Py nl On wine Ce.<„bU.Co..-.IN MI.M.,Iplai ati Me M.'wNN[n,nnn I.LESS Man I.Ogo on .1.Ins_pia Out na canYn any VCs.Ina.. <br /> t ompl.0 w1M Me rpuu of M.ayy4caa.Galada <br /> Galan.ooilmanaaqu <br /> gemoreiallan to tlasi .pw aN <br /> slmoine this is Il Ia accept the Jon.l"IsIraM. a <br /> w the of IN.none <br /> 4 Ma mlwm.hM I have wounded...I.N.wn1.1.mawr.rl <br /> 0.}JI have not mind any a Me waste described abwa with any other ha ndouy with.Me total p.Yd omitted a Matt R than 1000 pan.and the wain does not CmnaM any.C6.1 <br /> lure on ed papa'doeon nahm M IoW l E—e—mM W 6avl—Ie,room IW anunplen that this anal.wn msec mill Who haarddu. *0910 1 pian to xop IN sddigonY chases <br /> ml In.dnrinte old-n..I.o Me oneve nm 1 n.rs 1—hold ah w—mi.wa.a n 1...1-11 <br /> ❑.11 Tha was n time,a hins vNJ ot.au wpa al trim noo.nmd'm-16yourvlr 101v1.sla comhumidl,eomp small quant)s 0.neulw{CE3p )oaurco ie,los oven of my <br /> Inhaled,M.oay ail.nl corUlmd In my Onl CESO c.MacNn those In envy From MY anaor CESMS.thew. l have not mimed Ma waste oil wen My am..nae a...vols in <br /> woo al hen am.,aauaaa.I Wyly a.cnp me adda.l dreg.1p Windmill p IN.won 11 Me Me.. Nvainvi led Y1w11M.mos'..mcemGl <br /> (All generators/customers MUST read the following text and check the associated tax.) <br /> U NI 111 an a nage 0wnup gornalle,I Culrly INI I nava a program M pin to aducs Me viii and Mncxy of won pn.uli d m IN E.gres 1 have chromed to he"mo sihi <br /> 6rnticaok and that 1 have.elected Me pacouttle method NO Iraamenl nloi or dapoul cunMOv oNaWa to ma each minlmdea Met aslant aM hums Taal to roamer IM and <br /> Me Mylmnmant;01.111 on..mall quNinh,'—wid.r.I IN...elude a Mood I.N.sent Ie,momma.my waaa galwrallon and.N.Me.1 wnl.mTagamenl mathaf INI I.lived. <br /> to me Mn I can ailed <br /> Custer Signature Date Driver Slgrati Date <br /> jf ' q <br /> Print Name Print Drivers Name <br /> )) <br />