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FOR SERVICE CALL> SERVICE ORDER CORM NO_ WOE5004-B(8/l9) <br /> dxON OFFtcE gSHU RV ENVIRONMENTAL SERVICES, UBA <br /> 1-BOO-J2R2H'T9 SERVICE ORVER NO. <br /> FOR ACCOUNTING GAIL ��y� q�p g N2618B82 <br /> 56"2-231-t 550 �/� tlf^.9�9`G!e® ®®�m <br /> F_NVIRONMEN TAL SERVICES.. <br /> JIFFY LURE Y/596 -sotr cREVRo�NrAv.n�x�rv.cA�ss�o gROAOHASE INC- gR0009 <br /> 1130 N. MAIN STREET 2 1471 SHORE STREET <br /> _- MONTHLY BILLING WO BOF WWw_WORLOoiLCOq P.coM <br /> TRANSPORTER EPA K CAO02H2TO036 <br /> MANTECA.CA 95336 WEST SACRAMENTO. CA 95691 <br /> -> (2091 339-0665 (91 Bl 375-1155 <br /> C VSTOMER Y PURCHASE ORDER tt ROUTE H TRUCK p CONTACT NAME ORUER TAKEN BY HALIDES <br /> JIF668 OUTS '134 u001 UOUG SCHEDULED-O <br /> GATE REOU REO GATE ENTERED NEXT SERV CE GATE CUSTOMER EPA tl ILL oI LAOINQ/MANIFESTy <br /> >JzzsizDls ziz(v3o19 CAL000011032 O ��o 43 Co ii Jr. `[i4�c7 sT�� <br /> PA P pE5CR1 ION OTY UNIT PRICE OTY PN TOTAL <br /> leo <br /> BATCH e <br /> TOTAL I <br /> CASH REC'v[ CHECK p <br /> WASTE pISPOSAL INFORMATION <br /> NON-RCRA HA2AR000S WASTE LIOUIv(VSE O✓MIXEv OILS) STATE CODE 221 <br /> x NON RCRA HAZAROOV3 WASTE LIOUIO(ETHYLENE Ci LYCOL SOLUTIONS) ST TE CODE <br /> OTNER:_ <br /> a OE3IGNATEO TSOF ASBURY ENVI ENTAL E VICES ERE IP20M RBAN RO ERES.CA 9alG0{1AB)SCt i025.GALOOO�B3600 <br /> ALTERNATE TSOF: _ _ <br /> C/osc SVeels- OW OKl OOl 1 O EXR 5!24/-17 ClK O_I%ON __ � � __ A� _t_Ma/ugc Sam Rmtl _ <br /> _. <br /> OR VMS PN:____ EMPTY DRUMS: __ _ FACILITY:_ _ BSC _ _ <br /> GENERATOR WASTE CERTIFICATION (PLEASE CHECK THE APPROPRIATE BOX)' _ <br /> �r.�9��..o eu....�n....wc.mw[WD3te OII 9t' bltOr/C Sto T NIUS--! ch ch ONE v( ib' (o!!Owing ill _ bos Vs)� <br /> C^..00.ra.m.e.co.m a..ni....ee...u,m i...a.....ue.,�..._.e.emme.wm mu.....m�e in.e...,m .a,..em..n....00......_...e...a..<on <br /> .....,o....:o=.�.. ..c......e.�_..e�w...na..e...�.w..n....�.n..v.....e....a.yes..n a...�..........,e......_e..eme�...�e.....�a.«...............�. <br /> (All genaratois/ customers MUST read tFle following t¢xt <br /> e.ew..�.... ..,. .,`.....n ...�..�:.rva...en..u.....eY.ae...-„�.�... L.m.........�0......,.vm.�......ry�o�e��u ....._��...z��..ean��...a�...�....ro..� <br /> .... -.a o.. _ .. ...0 n...� .n. _ a ... .. <br /> Print N,-j_v— P:In( D/:..e/Na.,.e <br />