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ASBURY ENVIRONMENTAL SERVICES , DBA FORM NO. WOES002- D ( 1 /17) <br /> FOR SERVICE CALL: SERVICE ORDER <br /> PARLIER <br /> 559 -498-0240 0 <br /> FOR ACCOUNTING CALL : N <br /> 562 -231 - 1550 WORLD OIL NO• N <br /> ENVIRONMENTAL SERVICES <br /> 14287 EAST MANNING AVE ❑ PARLIER , CALIFORNIA 93648 ❑ (559) 498 -0240 <br /> EPA# CAD028277036 <br /> DATE CUSTOMER NUMBER <br /> CUSTOMER AMOUNT <br /> PHONE CONTACT CHECK NUMBER <br /> CUSTOMER EPA # P. O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED <br /> (AMOUNT) <br /> COMMODITY <br /> CROSS STREETS HALIDES P. P. M . <br /> NOTES : <br /> ❑ NON -RCRA HAZARDOUS WASTE, LIQUID (USED OIL/MIXED OILS) STATE CODE 221 <br /> *NO PLACARDS REQUIRED* <br /> ❑ NON- RCRA HAZARDOUS WASTE , LIQUID (ETHYLENE GLYCOL SOLUTIONS) STATE CODE <br /> *NO PLACARDS OR MARKINGS REQUIRED* NEXT SERVICE DATE <br /> ❑ OTHER DRUMS DRUM SIZE <br /> MANIFEST NO. NO. OF GALLONS <br /> DRIVER TRUCK NO. & RT. <br /> ❑ USED OIL AND GASOLINE FILTERS <br /> ❑ BIG SKY ENTERPRISES, 401 West Channel Rd . , Benicia, CA 94510 CAL 000301639 1 -510-541 -2128 <br /> ❑ GLOBAL MATERIAL MANAGEMENT, 1640 N . Broadway Ave . , Stockton , CA 95205 CAL 000417316 1 -818-770-2577 <br /> D SA RECYCLING, 33210 Western Avenue , Union City, CA 94587 1 -510 -487-9277 <br /> ❑ YUMA YES LLC , 2730 E . 13th Street , Yuma , AZ 85365 AZR000515924 1 -928-643-8938 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ASBURY ENVIRONMENTAL SERVICES • 2549 Scot Avenue • Chico , CA 95928 • CAL000827844 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES-CHICO II , LLC • 1618 W. 5th St . , Chico , CA 95928 • CAD980694103 • (800) 733-9043 <br /> ❑ ASBURY ENVIRONMENTAL SERVICES - FORTUNA • 200 Dinsmore Dr. , Fortuna. CA 95540 • CAL930256136 • (800) 733-9043 <br /> ❑ BAKERSFIELD TRANSFER INC . • 1620 E . Brundage Ln . • Bakersfield , CA 93307 • CAL000282598 • (661 ) 377-0308 <br /> ❑ D/K DIXON • 7300 Chevron Way • Dixon , CA 95620 • CAT080012602 • (707) 693-6008 <br /> ❑ DEMENNO/KERDOON • 2000 N . Alameda Street • Compton , CA 90222 • CAT080013352 • (310) 537-7100 <br /> ❑ EVERGREEN ENV. • 4139 N . Valentine Ave . • Fresno , CA 93722 • CAD982446882 • (510) 795 -4400 <br /> F-1RAMOS ENVIRONMENTAL • 1515 S . River Road • W. Sacramento , CA 95691 • CAD044003556 • (916) 371 -5747 <br /> ❑ WORLD OIL-SAN JOAQUIN , LLC • 14287 E . Manning Ave . • Parlier, CA 93648 • CAL000102751 • (559) 498-0240 <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 DEMENNO/ KERDOON 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 Department of Transportation . <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. P. M . ; X <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY P. C. B'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 . TOTAL HALIDES , OR <br /> CONTAINS ANY P. C . B'S . PRINT NAME <br />