Laserfiche WebLink
1010812010 P.0061045 <br />FORM NO. AS= <br />SERVICE 0RDEGj <br />ASBURY ENVIRONMENTAL SERVICES <br />1300 S. SANTA FE AVENUE o COMPTON, CALIFORNIA 90221 o (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CALIFORNLA <br />1.800-748-5744 EPA CA0028277036 1-800-727-2879 <br />CUSTOMER�i/ <br />PHON <br />U 7 G - 3 Zd CONTACT <br />C��i•7uTl�.l�s::%1 <br />JOB SITE ADDRESS <br />CROSS STREETS <br />&'-1Z-1-e 6/ */ 6;) <br />f ON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL MIXED OILS) 5TATE CODE 227 <br />*NO PLACARDS REQUIRED* <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCAL SOLUTIONS) STATE CODE 133 <br />*NO PLACARDS OR MARKINGS REQUIRED* <br />■ I ff-0 =1 <br />1�7 <br />DRIVER <br />0 NONHAZARDOUS DRAINED USED OIL FILTER <br />❑ COMMERCIAL FILTER RECYCLING, 313210 Western Avenue, Union City, CA, 510.487-9277 <br />p ALTERNATE FACILITY <br />ONETIME PICKUP El YM or ❑ NO <br />RESIDENCE C YES or Q NO <br />CONTRACT CUSTOMER ❑ YES or ❑ NO <br />'i <br />SERVICE ORDER <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER <br />P.O.NUMeER <br />CASH RECEIVED <br />COMMODITY <br />HALIDES <br />NEXT SERVICE DATE <br />rM DRIM <br />• OF OALLONSIRUCK <br />NO, 2 _ <br />DESIONATED TSDP: ❑ <br />ALVISO INDEPENDENT OIL- 5002 Arotw SA'e9t • AMeo, CA 85502 • CALODOI 51743 - (510) 475-1740 <br />❑ <br />BAYSIDE OIL II, INC. - 210 Encinal Street - Santa Cruz, CA 93000 - CADOW838222 - (403) 427-3778 <br />❑ <br />EVERGREEN ENV. ® 4139 N. Valentine Ave.. Fresno, CA 93722 . CAD982446M . (510) 795.4400 <br />"eMENNO/KERDOON a 2000 N. Alameda Street • Compton, CA,90222 • CATOS0013352 - (310) 537-7100 <br />/0 <br />DIK DIXON • 7300 Chevron Way. Dboon, CA 95620 a CAT080012602 • (707) 093-6008 <br />❑ <br />RAMOG ENVIRONMENTAL a 1515 S. Rhw Road a W. Sacramento. CA 9MI s CA .(918) 371-5747 <br />M <br />ASBURY ENVIRONM9NTAL SERVICES - 2549 Stroh Avenue • Chico, CA 86828 - CAL000827844 <br />USED 011., USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This Is 16 gatily that the above nam wildee are properly classMed, deserted, packaged, narked <br />RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDOON THE and labeled, and n for trensportatlon, to the applicable regulallons of . <br />LARGEST RECYCLER OF USED OIL IN THE UNITED STATES. p enj�f •� _ / <br />*I HEREBY CERTIFY THAT i HAVE NOT MIXED THIS WASTE WITH ANY d UY` <br />OTHER wAST6, THAI' THE TOTAL HALIDES ARE LESS THAN 1400 PRM.,,X / <br />AND THATTHE WASTE DOES NOT CONTAIN ANY RC.m. --- CU MER SIGNMR DATE <br />*I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL �} j %j'-�• 'J <br />DISPOSAL IF THIS WASTE IS OVER loco P.P.M. TOTAL HALIDES, OR X <br />CONTAINS ANY BOB%. PHIP41 NAME <br />