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SC�M�o ORDER <br /> �� OG�DC�G� <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br /> DATE - ONETIME PICK UP DYES or ZNO <br /> CUSTOMER4f RESIDENT 11 YES or,Gj NO <br /> , I <br /> BILLING ADDRESS CONTRACT CUSTOMER FLI IYES or ❑ NO <br /> PHONE CONTACT r,'?_j AA CUSTOMER NUMBER <br /> CUSTOMER EPA# P.P I -7 AMOUNT <br /> JOB SITE ADDRESS f n CHECK NUMBER <br /> 2 37L2 P.O.NUMBER <br /> CASH RECEIVED <br /> CROSS STREETS (AMOUNT) <br /> COMMODITY <br /> NOTES: <br /> HALIDES P.P.M. <br /> 12' 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 133 <br /> *NO PLACARDS OR MARKINGS REQUI ED* NEXT SERVICE DATE <br /> DRUMS DRUM SIZE <br /> ❑ OTHER ' <br /> 'vZ 4(n 00 `1 .. <br /> MANIFEST NO. r NO. GALLONS ) <br /> DRIVER TRUCK NO.&RT. <br /> f <br /> ❑ NON HAZARDOUS DRAINED USED 011.FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,3 210 Western Avenue,Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <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 /> ❑ PARLIER FACILITY•14287 E.Manning•Parlier,CA 93648 e CALOD0102751 •(559)498-0240 <br /> ❑ DeMENNOXERDOON*2000 N.Alameda Street•Compton,CA 90222•CAT080013352•(310)537-7100 <br /> DIK 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 /> 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 transportation, according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department of Transportation. <br /> *1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br /> OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.; X <br /> CUSTOMER SIGNATURE DATE <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.B'S.. <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR PRINT NAME <br />