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FOR SERVICE CALL: <br />PARLIF-R <br />559-498-0240 WO <br />FOR ACCOUNTING CALL: WODIY <br />562-231-1550 <br />AF <br />PEP 80YS #0711 <br />4987 WEST LANE <br />STOCKTON,CA 95210 <br />(209) 952-1222 <br />ASBURY ENVIRONMENTAL SERVICES, DBA <br />0 <br />4287 EAST MANNING AVE, PARLIER CA 93648 <br />1-559-498-0240 <br />W W W. WORLDOILCORP.COM <br />. TRANSPORTER EPA # CAD028277036 <br />FORM NO. WOES004-D (1/17) <br />SERVICE ORDER NO. <br />N2699648 <br />THE EC GROUP <br />201 <br />E. ORCHARD ST <br />HAMMONTON, NJ 08037 <br />(800) 334-3794 <br />CUSTOMER# <br />PURCHASEORDER# <br />ROUTE <br />1 TRUCK# <br />CONTACTNAME <br />ORDER TAKEN BY <br />HALIDES <br />i ,PEP359 <br />ROUTE <br />124 <br />:)ATRICK SMITH <br />SCHEDULED4 <br />rr MUIRED <br />DATE ENTERED <br />NEXT SERVICE DATE <br />CUSTOMER EPA# <br />BILL of LADING/MANIFEST # <br />/27/2018 <br />6/20/2018 <br />�� <br />CAD981662844 <br />(o , <br />PART'# <br />DESCRIPTION <br />QTY <br />UNITPRICE <br />QTYP/U <br />TOTAL <br />WO <br />USED OIL / MIXED OILS <br />90 <br />WOSC <br />USED OIL SERVICE CHARGE <br />1 <br />BATCH <br />Cro <br />s <br />Streets: <br />TOTAL <br />CASH REC'D: <br />CHECK # <br />Account Winagec Tadd Aurit <br />WASTE DISPOSAL <br />INFORMATION <br />NON-RCRA <br />HAZARDOUS WASTE, LIQUID (USED OIUMIXED OILS) <br />STATE CODE 221 <br />NON-RCRA <br />HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) <br />STATE CODE_ <br />- <br />OTHER: <br />DESIGNATED <br />TSDF:.66URY.-ENViR6NMENTAt-5ERb�O-M6ft©AN-RD,� <br />eEftES;�A-@6356 B <br />� �' 0AW603"68g <br />ALTERNATE <br />TSOF: <br />DRUMS PIU: <br />EMPTY DRUMS: FACILITY: <br />BSC <br />GENERATOR WASTE CERTIFICATION (PLEASE. CHECKTHE APPROPRIATE BOX) <br />By slgniny helav I hereby cercify that: the waste <br />(Waste ofIgenerator/customer MUST check ONE of the following three boxes) <br />.CSI)Ihave le mixed any <br />of oil management <br />t anyotherhaardous I agree <br />thetotalhalide additional LESSthan for the <br />ppm,andthe wasledoesnotormatnanyavep Ihavecampiiithisw therequirements of <br />/The applicable California used ail manayemen[ regulations to determine this is true.l agree ro accept the additional charges forthe disposal of this waste if the information i have, provided aboutthiswaste is incorrect <br />O%21 have not mixed any of the waste described above with any other hazardous waste, the total halide content is GREATER than 1,000 ppm, and the wastedoes not contain any PNs.l <br />have provided proper documentation to World oil Environmental Services to rebut the presumption thatthis waste was mixed with other hazardous waste.iagree to accept the additional charges for the <br />disposal onhis <br />waste if the ln(ormallon shave provided about this wasieizincorrxt ' <br />C]X3)INS waste Is from a tank which collects waste o0 from household'doit-yourselPlDiY)and/or conditionally exempt zmail quantilygeneratar (CESQG) sources, To the bestofmy knowledge, the onlywaste oil contained <br />In my DIYy CESaG collection tank is Soley from DlYand/or CESpG sourcex I have not mixed this waste oil with any other hazardous waste or waste oil (mm other sources, lagree <br />to accept the additional charges for disposal <br />o/this waste if the information I have provided aboutthiz waste Is Incorrect <br />(ATI generators/ customers MUST read the following text and check the associated box.) <br />e)R I am large quantity generator, I certify that I have a program In place to reduce the volume and toxicityofvraste generated to the degree I have determined to he economically practicable and than have <br />cted the practicable method of treatment,storage, or disposal currently available tome which minimizes the present and (Uinta threat to human life and the envrmnmen4 or, IN am a small quantity geneator,I <br />have made a good faith effort to minimize my waste generailonand selectthe hest waste management method that is available tome that I an aRord�^ <br />This Individual signing in the space set forth below on behalf oFCustomer represents a <br />as packaged, ma r and led, are <br />ready for transportation in accordance with app: <br />side o(ihtss der <br />Customer ignat e,� Date <br />r�Name <br />of waste and materials are true and accurate <br />lndard Terms and Conditions on the reverse <br />Driver ignatuare✓'/ Uate <br />Print Drivers Name <br />