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1010812010 09:52 P.0021045 <br />FORM NO. AESW3 <br />r <br />ASBURY ENVIRONMENIAL SERVICES <br />1300 S. SANTA FE AVENUE 0 COMPTON, CALIFORNIA 9022) ❑ 1310) 886-3400 <br />NORTHERN CALIFORNIA <br />1.800-727-2879 <br />SAN DIEGO OFFICE <br />11-80044&5744 <br />EPA CA0028277036 <br />DATE--og' <br />CUSTOMER `�,E.gl,� ✓y� . <br />BILLING ADDRESS <br />nu <br />i fl <br />ONE TIME PICK UP OYES or ❑ NO <br />RESIDENCE 0 Y58or ❑ NO <br />CONTRACT CUSTOMER■ YES or ! NO <br />PLEASE <br />PAY FROM THIS <br />SERVICE ORDER <br />CUSTOMER _- <br />AMOUNT <br />CHEOK NUMBER <br />P.O NUM®ER <br />CASA RECEIVIW <br />COMMODITY o <br />HALIDESI <br />0 NON-FICRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE 133 <br />*NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DAT-�� <br />O OTHER <br />MANIFEST NO. _..--- _3/ -7) 3�' 31 .:2 _ i lik <br />0 NON HAZARDOUS DRAINED USED OIL FILTER <br />0 COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Vftn City, CA, 510.487-9277 <br />❑ ALTERNATES FACILITY <br />DRUMS <br />DRUM <br />NO. OF GALLONS <br />jb-C7 <br />.. <br />DESIGNATED TSDF. ❑ ALVISO INORP ENT OIL- 5M ArWer Sheat • AM@% CA 9 02 • CALOOMO1743 • (510) 478.1740 — <br />0 BWYSIOE OIL II, INC. • 210 Enatnal Street- Santa Cruz, CA - OA{7E?88538222 . (40M 427-3778 <br />13 EVERGREEN ENV. i 4139 N. Valentino Ave.* Fresno, CA 83722 a CAD982446682 i (610) 795-4400 <br />j W' DAMENNO/KERDOON - 2000 N. a Street -Compton, CA 90222 - CAT0800t3352 - (310) 537-7100 <br />0 DAC DIXON • 7'300 ChewronWays Dixon, CASIMe CAT080012802 i (707) <br />G RAMOS ENTAL. 1816.$. PJYW Rand . W. CA I . 138. (816) 371.5747 <br />O ASBURY 19NVIRONMENTAL SERVICES • 2548 Scott Avarua + CIBC, CA 95928 -CALOON97a44 <br />❑ ALTURNAft FACILiT1f <br />USED OIL. USED ANTIFREEZE AND OILY WATER WASTE STREAMS ANN This Is 4o aartl/y r& wned arty :a �ot�wty q �okaged, msrk� <br />RECYCLED AT OUR SISTER COMPANY ORMUNNO/KSR0100 THI[ and Nbs"UN � p room valf tar+, CIRORtp 16 de$c apptls;PaC ns aJ <br />I-ARQEST t�CYCLER OF USED OIL IN THE WL■STERN STATES. I <br />•1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY <br />OTH T W 6THE E8 NTOTAL <br />CD DES ARE P THAN 10W PAM.: X <br />'1 FURTHER AGREE TQ AC %r THE ADDITIONAL OMARG9S FOR LEGAL X <br />DISPOSAL. IF THIS WASTS IS CV6Fl 10011 PRM. TOTAL HALIDES, OR <br />CONTAINS ANY PCA11L <br />