COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

FOR SERVICE CALL SERVICE ORDER DIXON OFFICE ASBURYENVIRONMENTAL SERVICES, DBA FORMNO.WOES00a-e (4/17) 1-800-727-2879 WO _ SERVICE ORDER NO. FOR ACCOUNTING CALL* WODIY N2526425 562-231-1550 AF WORLD ®YL ENVIRONMENTAL SERVICES. N MORGAN AUTOMOTIVE REPAIR STOCKTON00 CHEVRON WAY,DIXON CA 95620 CERTIFIED COLLISION CENTER P 7711 MURRAY DRIVE 1-800-72/-2879 4171 INDUSTRIAL WAY P W W W.WORLDOILCORRCOM E STOCKTON, CA 95210 TRANSPORTER EPA#CAD028277036 TRACY,CA 95304 Q (209)952-790.1 (209) 836-4893 CUSTOMER PURCHASE ORDER# ROUTE# I TRUCK#-.,, CONTACTNAME ORDER TAKEN BY HALIDES MOR622 R UTE 124 BRET shino(asa DATE REQUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMEREPA# BILL of LADING/MANIFEST# 2x20/2018 CAL000433427 t7�9_11 �> C? PART# DESCRIPTION QTY UNIT PRICE QTY P/U TOTAL WO USED OIL/MIXED OILS 200 WOSC USED OIL SERVICE CHARGE 1 Lt0 1 BATCH Cr s Streets: TOTAL CASH RECD: CHECK# Account Manager.Steve Gately WASTE DISPOSAL INFORMATION NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIUMIXED OILS) STATE CODE 221 NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS) STATE CODE OTHER: DESIGNATEDTSDF:---ASBURY-EWIRONME14TAt5ERNf10ESCE,ifl-2tii4i@RG/hU-R9: ER'e3;£A•05358-(2Ug)6d1=182x,:. t1tB6u'3e3690 ALTERNATETSOF: _ I DRUMS P(U: EMPTY DRUMS: FACILITY:. BSC GENERATOR WASTE CERTIFICATION(PLEASE CHECKTHE APPROPRIATE BOX) By signing below lherebycertifyNaz: - fJ (Waste oil generator/customer MUST check ONE of the following three boxes) FIA R p0 1 ]t1 P 31)Iheve wtmixed any ofthowwdodaddb,dib b.ith any oV",hacmd.idwasio the totalhallde content is LESS than l,OWpPm,and the waste does not contain any PC l havecod,d,dwioh the ierail mhdsof A31) 'h_.mlicabl.C.Inenla useaoIf managdment Wj[Ions to determine:hisis we.l agree to accept Neaddldooalchomas for the dhposal oRkswaste if the Information l have provided aboucshis waste I, amnect p021 have not mixedanyofthewastedescribed above with any other haxmdous waste,the sow halide contain is GUATU than IAoo Pmi,and Ihewastedpea not owden any PCgd.l .. have provided proper documentation to World Oil Environmental services.,abut Ne presumption that this waste was mixed with other h timilmswam I agree to accept the additional charges for the disposal fInk, weasel[NeiMormation I Iwve providadabout this wrote is fnmrren p93)Thls wase Is from a tank which collects waste dl Imm household'do-ir-yourself"(OIY)and/or conditionally exempt small quantity,generator ICESQGI soufceaTe the best of my knowledge,the only waste oil contained in my OIYy CESQG collection bank is seley from ON and/or CBQG saurces.I have not mixed this waste oil with a"other hdowdous waste or waste oil from other sourced.I agree to accept the additional themes for disposal of Un1 Waate ff the InformatYan I Aareµravitletl al:uut this wasrn is i.rem,ett (All generators/customers MUST read the following textand check the associated box.) fL�54)Ifl ms lanae uinritygenOnP[m.I c „lx chm lAteep,vd 41p4oc soled ct IN 1.4mWand eox Iyotvmseegeneraiedttl thedegfee l hav,romrmined w bommon,,nypruncable mobat l have mrocud Ind Prncthoole method of tr.ddm.eRL. ortge nor dupasal WINAVY awillahlo 10 ma Ircb dammorsdie present and Come Nrcaudbum.n ilk and the enviranmmd Or.eft am as mall gomiiry generalacl Five rtwlca�sad laisbvlferHa mmc,nrwaza•gcnerorienand ralea the ben waswmanagem^nt nceshod that is avpiWbletome;NativnalfoN. Thisindwidwlvgninginshespace,eI1.cerh below on IdalfofCustomer represents and wane nn that he/she has the authgdry to bindCoroner,that the forgoing descriptions orwaste and materials are food and accurate as packagd4 marked aPd tabdlc 'er^ready for transportation in accordance with appladide state and federal regulations,and that Cusromar shall abide and be bound by rhe Standard Terms and Conditions on the riven. side of this 5cvvi6e Order. CustomeCrSlre• Dat Drives Si;] elute Date Print Name �_-� Print Drivers Name