COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

FOR SERVICE CALL: SERVICI= ORDERZ. PARLIER ASBURY ENVIRONMENTAL SERVICES bBA FORM NO. WOES004-D (1/17) 559-498-0240 SERVICE ORDER NO. FOR ACCOUNTING CALL: 562-231 - 1550tow N2G33742 WORLD OIL ENVIRONMENTAL SERVICES,M 5 14287 EAST MANNING AVE, PARLIER CA 93648 H 7 '11 MATERIALS INC - 711002 1 -559-498-0240 P 2714 STAGECOACH PO BOX 3191 p WWW.WORLDOILCORP.COM E STOCKTON, CA 95215 TRANSPORTER EPA # CAD028277036 MODESTO, CA 95354 Q (209) 943-4730 (209) 943-4730 CUSTOMER # PURCHASEORDER # ROUTE # TRUCK # CONTACT NAME ORDER TAKEN BY HALIDES 711002 ER-86 HANK aveiazquez DATE REQUIRED DATE ENTERED NEXTSERVICEDATE CUSTOMER EPA # //BIILLL of LADING/MANIFEST # 7/25/2018 CAL000264132 ® � 6 (� I PART # DESCRIPTION QTY UNITPRICE QTYP/U TOTAL OF USED METAL OIL AND GASOLINE FILTERS 3 $55. 00 $165.00 OFDR OIL FILTER DRUM REPLACEMENT - NO CHARGE 3 $0400 $0.00 paiwp�as4ic ( 1a- ver � l �e 2 BATCHt u Effective 71112016: Service orders with associated haz waste manifests (site specific/consalida ed) are subjec to an EPA Fea. .e aver PA pass- h n n if - CASH RECD: c CHECK # 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: nlnnl-ar. R4 N67AgpL)L6 Iq(Aa'r sal In (F 7Z-F.S-=TAJI!4NG-P�ATE-CODs 2?3 DESIGNATEDTSDF: YUMA YES LLC 2730 'c 13TH ST YUMA AZ 85365 928-864-2893 ALTERNATETSDF: i Cross tifr a A1u rnr v� ��nGn �T^ �^' ^ Aftrathf Manager-ToddAunt. DRUMSP/U: EMPTYDRUMS: FACILITY: BSC GENERATOR WASTE CERTIFICATION (PLEASE CHECK THE APPROPRIATE BOX) I By signing below I hereby certify that: (Waste oil generator/customer MUST check ONE of the following three boxes) 0#t) I have not mixed any of the waste described above with any other hazardous waste, the total halide content is LESS than 1,000 ppm, andthe waste does no[ contain any PCEn. I have compiled with the requirements of the applicable California used oil management regulations to determine this is true. i agree to accept the additional charges for the disposal of this waste If the informan'-IMW7 v deyfab u th' �-e. t� w r� '"eaa JEL a 07#21 have not mixed any at the waste described above with any other hazardous waste, the total halide content is GREATER than 1,000 ppm, and the waste does not c Main any PCB s. I , have provided proper documentation to World Oil Environmental Services to rebus the presumption that this waste was mixed with other hazardous waste. l agree to apt lh qn 4cha he disposal this waste if the information l have provided about this waste is incorrect efgddJ� $ ' �esb, � O#3)Thowaste above a tankwhich collects waste oil from household-do-it yourself' (DIY) tackler conditionally exempt small quantity generator (CESQG) sourc%var tts f myknowledge, the onlywaste oil Pained p In my 01Y/CESQG collection tank is soley (ram DIY antilofCESQG sources. l have not mixed this waste oil with any other hazardous waste or waste oil from other is J;a �pZQatt�tthe additional'harges for - isposal l of this waste if the Information I have provided about this waste is incorrect -- (AII generators/ customers MUST read the following text and check the associated box.) p94) If l am a large quantity generator, I certify that l have a program in place to reduce the volume and toxicity of waste generated to the degree i have determined to be economically practicable and that i have selected the practicable method of treatment, storage, or disposal currently available tome which minimizes the present and future threat to human life and the environment;Or, if I am a small quantity generator, i have made good faith effort to minimize my Waste generation and select the best waste management method that is available tome that) can afford. Li This Individual signing in the space set forth below on behawof customer represents and warrants that he/she has the authority to bind Customer, that the forgoing descriptions of waste and materials are true and accurate as packaged, marked and labeled, are ready for transportation in accordance with applicable state and federal regulations, and that Customer shall abide and be bound by t e Standard Terms and Conditions on the reverse side of this Service Order. C tomer Signature Date Driver Si rat Date Print Name Print Drivers Name