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FOR SERVICE CALL: '"r r "r "'`r' <br />PARLIER ASBURY ENVIRONMENTAL SERVICES, ABA <br />559-498-0240 WO <br />FOR ACCOUNTING CALL: WODIY <br />562-231.-1550 0 <br />AF <br />WORLDOIL <br />ENVIRONMENTAL SERVICES.e <br />H PEP BOYS #0711 14287 EAST MANNING AVE, PARLIER CA 93648 <br />P 4987 WE ST LANE 1-ss9-49a-ozao <br />to _ RLDOILCORP,COM <br />E <br />T STOCKTON,CA 95210 `y p �'T1" SPO EPA CAD028277036 <br />0 (209) 952.-1222 <br />FORM NO. WOES004-D (1/17) <br />SERVICE ORDER N0. <br />N2560886 <br />THE EC GROUP <br />2p1 E. ORCHARD ST <br />HAMMONTON, NJ 08037 <br />01334-3794 <br />CUSTOMER# <br />PURCHASEORDER# <br />ROUTE# <br />TRUCK# <br />CONTACTNAME <br />ORDER TAKEN BY <br />HALIDES <br />PEP359 <br />R <br />DUTE 124 <br />V0 <br />SCHEDULED4 <br />DATE REQUIRED <br />DATE ENTERED <br />NEXT SERVICE DATE <br />CUSTOMER EPA 1t <br />BILL of LADING/MANIFEST 1k <br />.:4/25/2018 <br />4/18/2018 <br />CAD981662844 <br />J <br />PART# <br />DESCRIPTION <br />QTY <br />UNITPRICE <br />QTYP/U <br />TOTAL <br />WO <br />USED OIL / MIXED OILS <br />190 <br />WOSC <br />USED OIL SERVICE CHARGE <br />i <br />BATCH <br />gw 7';;:. Cro <br />5 <br />Streets; <br />TOTAL <br />CA>t,REC'D: <br />CHECK # <br />Account Manager: Steve <br />Gately <br />,'<... <br />WASTE DISPOSAL <br />INFORMATION <br />NON-RCRA <br />HAZARDOUS WASTE, LIQUID (USED OILIMIXED OILS) <br />- <br />STATE CODE 221 <br />NON-RCRA <br />HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) <br />STATE CODE_ <br />OTHER: <br />DESIGNATED TSDF.EBUR,t'-ENtrYR&NktENTAF3Erf2WeECEf2E3� t@28-MBR�AhfRD. CERE5�-CA <br />@�s35B(209J9at1=t825Atf7Q69gi3880 <br />ALTERNATETSDF: <br />DRUMS P/U: <br />EMPTY DRUMS: FACILITY: <br />BSC <br />GENERATOR WASTE CERTIFICATION (PLEASE CHECKTHE APPROPRIATE BOX) <br />By signing below I hereby cerilfy than <br />(Waste oil generator/customer MUST check ONE of the following three boxes) <br />,0?;) f have not mixed any of the waste described above with any other hazardous waste, the total halide content Is LESS than 1,000 ppm, and the waste does not contain any PCRs.I have compiled with the requirements of <br />he appgable Callfomla used oil management regulations to determine this Is bur, Iagree to accept the additional charges for the disposal ofihls waste if the information [have provided about this waste is incorrect <br />E342 have not mixed any of the waste described above with any otherhazankne waste, the total halide content is GREATER than 4,000 ppm,and the waste does not contain any PCRs, i <br />have provided proper documentation to World Environmental Services to rebut the presumption that this waste was mixed with other hazardous waste.] agree to accept the additional charges for the disposal ofthis <br />waste if the lnformiter l have provided about this waste is Incorrect <br />[=#3)ThIs waste Is from a tank which collectswaste ai from hourobold'do-4 weaseIPIDIY) and/or conditionally exempt small quantity generator (CESQG) murces.To the best of my knowledge, the only waste oil contained <br />n my DIY/ CESQ(lrollecllon tank is soleyfrom DIY and/or CESQG sources. i have not mixed this waste all with any other hazardous waste or waste oil from other soworsi.l agree to accept the additional charges for disposal <br />of this waste if the Information l have provided about this waste is incorrect <br />(All generators/ customers MUST read the following text and check the associated box,) <br />114) If I am a large quantity generator, i certify that I have a program in place to reduce the volume and toccityefwaste generated to the degree I have determined to be economically practicable and that I have <br />lected the practicable method of treatment, storage, or dlsposa]currently available to are which minimizes the present and future threat to human the and the environment; Or, if I am asmall quantity generator, l <br />have made a good faith effort to minimize my warm generation and select the best waste managementmethod that Is available tome than can afford. <br />This individual signing in the space set forth below on behalf of Customer represents and warrants that he/she has the authority to bind customer, that the (mgohrgdesaiptions ofvarteand matedals are true and accurate <br />as packaged, mvkedgp4labeled, are ready for transportation In accordance with applicable stale and federal regulations, and that Customer shall abide and be bound by the Standard Terms and Conditions on the reverse <br />Customer Sign /.D,ate ��-D--eltvger Signature \ <br />�f�l,,�+.'Ltf1L"crc� <br />(Tint Name nIft Drivers Name - <br />