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FOR SERVICE CALL' SEFIVICE ORDER pOgM NO.WOESOO4-B(H/16) <br /> DIXON OFFICE ASBURV EN VIRONMEMTAL SERVICES, DBA sEFVICE ORDER NO. <br /> 1-e@B-Tz�-zBT@ <br /> FOq AGCOUNTINQ CALL N26107B5 <br /> 56z��o Ci����� �i/1/0I2L� OI L <br /> ENVIRONMENTAL SERVICES,.. <br /> JIFFY LUBE#596 TaHocHEvnoN wav,DIxpN.cR asszo gROA08ASE INC-BR0009 <br /> 1-BOO-T29-2879 <br /> 1 13D N. MAIN STREET Y 471 SHORE STREET <br /> MONTHLY BILLING WO 8 OF www•wORLDOILCORP.COM <br /> MANTECJA_CA 95336 TRANSPORTER EPA#CA002B2TT036 WEST SACRAMENTO. GA 95691 <br /> o (2U9)239-0665 (9t 6) 375-1155 <br /> CUSTOMER# PUFCHABIa ORDER H ROUTE A` TRUCK# CONTACT NAME OAOEq TAKEN BY HALIDES <br /> PATE REOUIREp DATE ENTERED NEXT BERVICE pgTE CUSTOMER EPA# BILL o/LADING/MANIFESTY <br /> l 2/2019 CALODU 1 g� ��) ll� --C �/' <br /> V, IIJZI WU ��J 1C�� <br /> P # I TION OT UNIT PRICE OTY P/ll TOTAL <br /> {t.>c E.T'HyLi;tJF �/��y GoL lj.s�v�`i BN �-S <br /> l /BATCH <br /> TOTAL <br /> CASH REC•Oa CHECK# <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZAgpOUS WASTE.LICUIp(IIBEO OI✓MIXED OILB) STATE COpE 22l <br /> NON-RCRA HA2ARDOU9 WASTE,LIOUIO(ETHYLENE GLYCOL 80LUTIONB) STATE CODE <br /> OTHER: <br /> X DEBIGNATED T3pR: ASBLIRY ENV RONMEMAL SERVICESCERE6. 4920 MORG.MI RD..GERES.CA aG$@B(2Da)@dt-1 @35_(�J LHOH393BE0 <br /> 4 LTERN4TE TSOF: <br /> S #�� W EX XON Raa-auM Mara ar.Sam Read <br /> pRUMB PN: EMPTY pFUMS: FACILITY: BSC ___ <br /> tl T ��ar.� <br /> Iaa Beiew rae.eer ron GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE�ox()(AR O 4 8019 <br /> ,1+Jo� ,Ir(Waste oll ganarato Hcustomar MUST chacK ONE o{tba{ollowing three boxes) <br /> .n_,..m....eno..re.�.o,moa ee mm>.ewaxe��ineeve••���i.::.�.::'Lp�.ai��i:�m��"a:i•v�ra`mie�m�•��e•�+o-�ewm•r�nuamene.anerem�eia��ia'e.ae�,er..ai n__ ._.. <br /> m _ auras waem w..mama wnn a�ee.emvmeua wavmlus•a°•a�=m a.a.nnu�=nes <br /> cyn•m';��o u.s w H°om a'�vm•p�u`m^,•c uonc� n..ann tory a�w��tl a nary m e�dna�w eru�vne•�i.e�a�n'..iu.n ene..�iu�....�s�ncn..c•I�cso W u�nev.Aa,� w�.s n:•.i.,.u�� <br /> (All generators/cuatpmara MUST read tltB fo1[owtng text <br /> _ _ ��baw•au amw��a.a ma aeve��aaw anu•m�neaumknnvmmenr nmauu•e ena maH�ss���c,�a•eo <br /> e '•ick....:. mo•ay.�a o. o V � a va r� ms•..n "q^�eneuen u.•�eman�wnn pq vm�o a�e.e vnd�aao e�mawavena'en�Ngcuewmv vnvn�mm <br /> 5 mox�vnnun asmC iee�'IyP sr.i oev r�u mI%na mve <br /> p e�./�Jir:.o/�i��..�a,,,e.,�.a.va a.,ne��_/ 2���ti�:,.,��.a�,.a....�... ��^��/]�-..Oen.-,...a..o...�...a 7••'=/�S� <br /> c.:t r�¢sl—y x�.,ra D le D/n..er sl�� s�aa`e <br /> � e_,_Y..e.. � 'off�?.nl�,..,P �1-S�'�� <br />