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FOR 5£RVICE CALL: SERVICE ORDER FORM NO.WOE5004R(8/l8) <br /> pIxON OFFICE ASRURV ENVIRONMENTAL SERVICES, OBA <br /> 1-800-929-2879 9ERVIGE ORpER NO. <br /> EOR AG:COUNTING CALL_ �A�L® �y®� N27S'2370 <br /> 562-231-1550 �.� V �/ <br /> ENVIRONMENTAL SERVICES-.. <br /> E V flON WAY.OIXO N.CA 96620 <br /> JIFFY LU6E Y£596 vaoc cH _eoo->29-26Ta BROAOBA6E INC-BRO009 <br /> 1130 N. MAIN STREET www.wORLDOILCOR P.cOM t47t SHORE STREET <br /> - MONTH LY 6ILLIN0 WO 8a OF TR ANBPORTER EPA#GAOO262T9036 <br /> MANTECA.CA 96338 WEST SACRAMENTO,CA 951391 <br /> o' (209123®-01386 (9161 3Y5A 1S6 <br /> CUSTOMER# PURCHASE ORDER# ROUTE A TRVGK# CONTACT NAME ORDER TAKEN BY HALIDES <br /> JIFB66 OUTSt DOUG 6CHEOULEO-O <br /> GATE REpU1pEO OgTE ENTERED NF_XT SERVICE OATS CUSTOMER EP4# BILL 91 LAOINOI MANIFESTP <br /> 1 z2�r2D16 tzl9rzate cALD00011os2 � 37 �31C <br /> PApT# DESCRIPTION OTY UNIT PRICE OTY P/U TOTAL <br /> PFO PAY FOR OIL 180 I-i�� <br /> BAToi J <br /> TOTAL <br /> CASH REC'p: CHECK# <br /> — - WASTE DISPOSAL INFOR MATTO=- ---- - -- <br /> NON-RCgA HAZARDOUS WgSTE. LIpUIO(LLSEO OIVMIXEO OILS] STATE CODE 22l <br /> ON gCRA HAZAR OOUS WASTE, LIOUIO(ETHYLENE GLV COL SOLUTIONS) STATE GOOE <br /> pENER' <br /> SIONATEO TSOF. _ gSURY--ENWRONMEIYTAbSERNGESEERE;-i820-MOgGP.l.1-AO�6ERE6-fv��9E349{�289),a e�S.BqL-00E393pB0 <br /> ALTERNATE TSOF <br /> -Gross=�bae(a_--OW-3MEY�BO}}O-E-XP�6F24/-1-T-OK-FJ{J(EJp.t- - Aeeaurs�Y.anaya+��Sam�Raa� <br /> DRUMS P/V: _ EMPTY ORUMSa FACILITY:_._ DSC__ i <br /> y GENERATOR WASTE CERTIFICATION (PLEASE CHECK THE APPROPRIATE BOXj _)I,�„ 1 �{II r <br /> / ,+9^Y9ry,^�iwey�..0+(Waste oil ge alorlcustorner MUST cF¢ck ONE Of Ib¢fO1lowing LhrBa b0 <br /> �E( .vn..c.mu..a cm ar me•v..e ma�rmm.rvu.re..6n mer mr.+.n.:..ec......�+m.nma.,.uu.uuc an..•.e•L.u�u nm rt000�..a..a ma m.v uwa..a•anwn�.,r vc <br /> m...e�..a..a....e.tea....._.._..._ �..I•�ae�.�.��•e..�.......a�...-a...-a-.. _a.a....o....o d..a:al..a...•. ..v-e..e>.n�.�...�Isa.e......b..m�......�e,.Pe....el »....... <br /> u��..•a.,..,.�e........�.-o.N..d.6e...•......,....r.-i.�..K1 .....«..�•o��.�.,.�.o..».,�e�........e,e�...._,�..._�.o...•a a..�..�.....ed.� , <br /> ue.=,�.a...�.,�.pa=ale•...._.....,�...,ol...a.,..o..a....e_so,e...am esa.................�.eo..=.. _ .....e.�._...a.�e..a...».�.......•a e�. <br /> w.+eu.....e..•=....�..a•«•�-==+e�.n-.ee...e..,.�(All 9aneratOrs/c'si mars MUST readtl[b¢ followin9^cext <br /> e b n ., awv .�.av-o.,....,.,.. .... ..e�.e�.•.�...•m^.�Ima., e...e.1`L ^...e�•v_w..�i�..e..�.•`••_v.. _e•E�Yo....^:..9��.E...1�..�..�.,.e.e.. <br /> s{gn f <br /> re <br /> �(+ ����- _- -- - rl nt prlver NmmO - <br />