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FORM NO. AES003 <br />SERVICE ORDER <br />NO. N 607754 <br />ASBURY ENVIRONMENTAL SERVICES <br />1300 S. SANTA FE AVENUE ❑ COMPTON, CALIFORNIA 90221 ❑ (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CALJFORNIA <br />1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br />DATE -!'s7 -o ! <br />CUSTOMER <br />BILLING ADDRESS <br />PHONE ! " J CONTACT. <br />CUSTOMER EPA # <br />1 <br />JOB SITE ADDRESS) <br />&A' <br />CROSS STREETS <br />NOTES: <br />(NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE 221 <br />*NO PLACARDS REQUIRED* <br />NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQUIRED* <br />❑ OTHER <br />MANIFEST NO. :'C_•' ��. ' <br />DRIVER <br />❑ NON HAZARDOUS DRAINED USED OIL FI <br />❑ COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />❑ ALTERNATE FACILITY <br />133 <br />ONETIME PICK UP <br />RESIDENCE <br />❑ YES or /NO <br />❑ YES or /NO <br />CONTRACT CUSTOMER BYES or ❑ NO <br />PLEASE PAY FROM THIS <br />SERVICE ORDER <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER _ <br />P.O. NUMBER <br />CASH RECEIVED <br />/ (AMOUNT) <br />COMMODITY /I� <br />HALIDES <br />NEXT SERVICE DATE <br />DRUMS DRUM SIZE <br />NO. OF GALLONSl <br />TRUCK NO. & RT. <br />DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL - 5002 Archer Street • Alviso, CA 95502 • CAL000161743 . (510) 476-1740 <br />❑ BAYSIDE OIL II, INC. * 210 Encinal Street • Santa Cruz, CA 95060 * CAD088838222 * (408) 427-3778 <br />❑ EVERGREEN ENV. * 4139 N. Valentine Ave. * Fresno, CA 93722 * CAD982446882 * (510) 795-4400 <br />❑� DEMENNO/KERDOON * 2000 N. Alameda Street- Compton, CA 90222 * CAT080013352 * (310) 537-7100 <br />/K DIXON * 7300 Chevron Way * Dixon, CA 95620 * CAT080012602 * (707) 693-6008 <br />RAMOS ENVIRONMENTAL .1515 S. River Road . W. Sacramento, CA 95691 * CAD044003556 .(916) 371-5747 <br />ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue * Chico, CA 95928 • CAL000827844 <br />❑ ALTERNATE FACILITY <br />P.P.M. <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified, described, packaged, marked <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and are in proper condition for transportab6n, according to the applicable regulations of <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation. <br />EBY WA WASTE, THAT THE TOTALTIFY THAT I NOT MIXED RHAL DEE LESS THAN 1NITH Y <br />000 RP..M <br />OTHER X 4,5/ 61 <br />ANDTHATTHE WASTE DOES NOT CONTAIN ANY P.C.B'S.. CUSTOMER SIGNATURE DATE <br />*1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES, Ofd:, X <br />CONTAINS ANY P.C.B'S. PRINT NAME <br />