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SERVICE ORDER <br />454543 <br />— — — o. <br />ASBURY ENVIRONMENTAL SERVICES <br />2100 NORTH AlAMEDA STREET O COMPTON, CALIFORNIA 90222 O (310) 886-3400 <br />SAN DIEGO OFFICE NORTHERN CALIFORNIA <br />1-800-748-5744 EPA CAD028277036 1-800-727-2879 <br />1-800-933-9194 <br />DATE <br />CUSTOMER <br />BILLING ADDRESS <br />PHONE ���_ CONTACT <br />CUSTOMER EPA # <br />JOB SITE ADDRESS Rc) C_ 4y C� i I, a <br />CROSS STREETS <br />NOTES: <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (USED OILIMIXED OILS) STATE CODE <br />*NO PLACARDS REQUIRED* <br />❑ NON-RCRA HAZARDOUS WASTE, LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br />*NO PLACARDS OR MARKINGS REQUIRED* <br />❑ OTHER <br />DRIVER <br />❑ NON HAZARDOUS DRAINED USED OIL FILTER <br />COMMERCIAL FILTER RECYCLING, 33210 Western Avenue, Union City, CA, 510-487-9277 <br />ALTERNATE FACILITY <br />ONETIME PICK UP F-1 YES or ( NO <br />RESIDENT ❑ YES or C` NO <br />CONTRACT CUSTOMER OYES or ❑ NO <br />CUSTOMER NUMBER <br />AMOUNT <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />(AMOUNT) <br />COMMODITY _ <br />HALIDES <br />NEXT SERVICE DATE <br />P.P.M. <br />DRUMS DRUM SIZE�� <br />NO. OF GALLONS <br />(RUCK NO. & RT. <br />DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL - 5002 Archer Street • Alviso, CA 95502 • CA1000161743 • (408) 262-1360 <br />❑ BAYSIDE OIL 11, INC. • 210 Encinal Street • Santa Cruz,'CA 95060 • CAD088838222 • (408) 427-3778 <br />❑ PARLIER FACILITY • 14287 E. Manning . Parker, CA 93648 e CAL000102751 • (559) 498-0240 <br />❑ DeMENNOXERDOON • 2000 N. Alameda Street • Compton, CA 90222 * CAT080013352 • (310) 537-7100 <br />❑ OCS - 3255 N. Marks Street. • Fresno, CA 93722 • CAD980673842 • (559) 485-5496 <br />❑ RAMOS ENVIRONMENTAL . 1515 S. River Road . W. Sacramento, CA 95691 . CAD044003556 . (916) 371-5747 <br />❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scott Avenue * Chico, CA 95928 • CAL000827844 <br />❑ ALTERNATE FACILITY <br />USED OIL, USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify that the above named articles are properly classified, described, packaged, marked <br />RECYCLED AT OUR SISTER COMPANY DEMENNOiKERDOON THE and labeled, and are in proper condition for transportation, according to the applicable regulations of <br />LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Cepartm nt of sportation. <br />*1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY / / <br />OTHER WASTE, THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.Pht.: X ! / / <br />AND THAT THE WASTE DOES NOT CONTAIN ANY P.C.5 S.. CUSTOMER SIGNATURE DATE <br />'I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL X <br />DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TCTAL HALIDES; OR <br />",ONTAIfiS ANY P.C.B'S. <br />