|
..........
<br /> r
<br /> 1.,50 WORLD OIL
<br /> 1-800-7 27-','Z.;7_0
<br /> p
<br /> -T 0- 'CA LlFCRI-4)A-LOUISE AVE WWW.WORLDO1LGORP.'CO?J1I
<br /> 2050'E. LOUSE AVE 'TRANSPORTER EPA-AICAU028277036
<br /> 1050 E UOU!SE AVE
<br /> LATHROP,GA 03300 LA THROP, CA M330
<br /> ;20,91858-4110 _
<br /> (209)-358-4110
<br /> CUSTOMER# PURCHASE ORDER# R UTE# TRUCK T CONTACT NAME ORDER TAKEN BY HALIDES
<br /> 7;=r,AnA
<br /> 15-639Q I tay SI'_W 3 rL
<br /> I
<br /> DATE REQUIRED DATE ENTERED NEXT SERVICE DATE' CUSTOMER EPA# 18611?1� elf R111i MANIFEST#
<br /> CAI =44tiso
<br /> PART III DESCRIPTION OTY UNIT PRICE QTY P/U TOTAL
<br /> OF USED METAL 0'-AND GASOLINE FILTERS 2 $55.00 nsj"-w
<br /> OFOR OIL FILTER DRUM REPLACEMENT-NO CHARGE 2 $0.00 $0.00
<br /> BATC-4 TOTAL
<br /> CASH RECD:--_— CHECK
<br /> WASTE DISPOSAL INFORMATION
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIUMIXED OILS) STATE CODE 221
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE---
<br /> OTHER:
<br /> DESIGNAT
<br /> ALTERNAI,W%§6-MZAIMOUS-WASTE-.-SOi:lr)-rF-LTE-Rs-coNTAlNtw.-ostrsrgrE-cooE22r---
<br /> • YES MANAGEMS"4NG.-,6500-US-HIGHWAY-96,-)4MArA7-55365,-928-1$44629----.--;------
<br /> DRUMEW$1te's. EMPTY DRUM$: FACILITY;,_-,_.____.—_ BSC A=Wt Manager.Sam Read
<br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE BOX)
<br /> ey sl0ningk0low I halcle,ceally that
<br /> (Waste oil generator/customer MUST check ONE of the following three boxes)
<br /> LI 91)1 have not raised any of the ware described above with voy other hazardous wtuift,Ile,10W tuuW.content I.tAcss One.,1,000 pp.,.110 the..%.donla not.110til any PCOV,I have
<br /> complled with the iNuirennerus of the applicable C.Ift.A.used.3 mamgement regulation.to detinsibst tills is:no.I ibliouI to except the Additional chatilas W the c5sposal of this viosio if
<br /> too Inforarailis,I la.vo provided about this wasto,is locorIt
<br /> U- 121 howo no!oh,ed any of the waste described above with any other hazardous%raid.the total ondide content in wHrAypn liver 1,000 ppm,nod the weno,doom 1101 contain am,Kne.I
<br /> hove provided Indian,dchuaranualon to Works oil finvinorentinnal so"Inov,to reind tire presumption All.[We wont'.v=huneo"in,d1w MWdour..01W.I kell"1a adapt the a0ditbrind!
<br /> cinirline for the OloponAl of this vnesuo It tire InIonsuition,I have provided about this onestc Is inodwItt
<br /> 0 431 This Pms to to Ma{.tank ernteh otient,waltv oil incin,4,ninsho41"oo-ttyntn Sell py)and 0;rumbooIllny v., ;,11 1 n,I in.fity posI jc ,&r_lctj•imacep.'im the basal as nly
<br /> lovin,rialne.the only•,Otte oil o,ntalnid in my VIWUSQG C01kC:XdA ttlflL IS CV16:1!.Gle My CrId.41•Mr.013 0'L. !!..-:'L r;jrixcr!111F,wash,o:!'i y OthIr;ur,,,.adoue wasic in on
<br /> fon:other sanrcos.I allwal to III,addition..dirties for ft-po"l of fiods."pie-m If It:*b4orn"wiOn 1 WAIL I;o ke.I tz"':this:loct 1,11.1,1 Z?.Iz
<br /> (AliOr flCl." !4' i-ollovAnct tr--y.,
<br /> .nrne10,.Wo oilthad A 1. 1: .I
<br /> 2te. c.vinpean. "n-nt, W, in'll I, :L Vo,iIr No andl Go;
<br /> IiIN l-'ah-hipal si.l.uj I I I,,L rA Wril.h1low .-t rL Itl:0.,(11 I;Imlw,
<br /> Vnj I.Vion'sS.I.U.e I 114:11-10IS-L is lnb w'W,a:,
<br /> Jf
<br /> cq 67
<br />
|