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FOR SERVICE CALL: SERVICE ORDER
<br /> PARLIF-R ASBURY ENVIRONMENTAL SERVICES,DBA FORM NO.WOES004-D (1/17)
<br /> 559-498-0240 Vt/Q „ , SERVICE ORDER NO. ,
<br /> FOR ACCOUNTING CALL: WODIY N2472811
<br /> 562-231-1550
<br /> AF
<br /> ENVIRONMENTAL SERVICES,.
<br /> H RMC PACIFIC MATERIALS AGGREGATEIBUZEASrMANNING AVE,PARLIERCA93648 CEMEX USA-PARENT-201770
<br /> P 30350 S TRACY BLVD 1-559-498-0240 2365 IRON POINT ROAD,SUITE#
<br /> p W W W.WORLDOI LCORP.COM
<br /> E
<br /> D TRACY,CA 95377 TRANSPORTER EPA#CAD028277036 FOLSOM,CA 95630
<br /> T (209)835-1454 (916)941-2909
<br /> CUSTOMER# i PURCHASE ORDER# ROUTE# UCK# ALID
<br /> TRCONTACT NAME I ORDER BY HES
<br /> R M001 PO#REQUIRED R TE 110 i C SCHEDULED-]
<br /> DATE REOUIRED DATE ENTERED NEXT SERVICE DATE CUSTOMER EPA# BILL of LADING/MANIFEST 01
<br /> 11/15/2017 11/1312017 CAL000301999 CJ('�y�$
<br /> PART# DESCRIPTIONSQTTYY UNITPRICE QTY}�P�/�U) TOTAL
<br /> LNS I V
<br /> I
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<br /> MUST BE RICKED UP EVERY 90 DAYS REGARDLESS OF VOLUM Ell Ith st laaatlan BATCH#
<br /> I
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<br /> Cross Streets: REDIMIX � ,TOTAL _
<br /> Account Manager.Steve Gately
<br /> CASH RECD: CHECK# 9
<br /> WASTE DISPOSAL INFORMATION
<br /> JON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL/MIXED OILS) STATE CODE 221
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)
<br /> i OTHER: — --- - - - --
<br /> t =Fblc:,:%TED TSDF
<br /> DRUP,aS Pill: EMPTY DRUMS FACI - BSC.
<br /> GENERATOR WASTE CERTIFICATION(PLEASE CHECKTHE APPROPRIATE BOX)
<br /> (Waste oil generator/customer MUST check ONE ofthe following three boxes)
<br /> :1,Ihp•:nv:l rni;id any nl:he moa::rJe:criheJ:+hu:c witharty Mherhazardouswa;:e.the eoml haiide Conten:is!ESS Shan 1:100 ppm,and,he'w•asW clogs---Amy PCds,lh.rre-Iplitd w ith:h!:requl:er`sn of
<br /> rht o!:li(ow-c..*fo,nn u-1 oil nu, ,.nn,0ulacons tudetelrnin+.,hisis tn•e la:net•toattep:,hcadtli[iunalchargesfor.hc dispaxalafthiswnzte l(tl,e informxmnll,a>e prrvideJaho,rttni:a:a;:un:•nr.,rres
<br /> [�+•.!h:-"n:::�,i.:J„ny ith..-y othu h.-o-1— molal halide content is GREATER then 1.000 ppm,and 1.1 a e doc>nor enl:tam au/Vfi,I
<br /> r:;p.v ..:.:: ,�Iyo.I:)r.ilF.nvilOnmt•:,,a15e:wCes lJ rC6ul lhr:l;lc_•�n,;,iion lh,t this waf[f was miv<tlw lh ethtr mrartlous moa>Ce lnnreu,n accept the aJCiin•:rwl Clrary,-s fv:thr J�.:o;+l r.i t�::s
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<br /> ;`,.I oc Iera±<,n/customers I: '.-;S I read the-,following tent and check t he associawd'nox
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