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FOR SERVICE CALL: � SERVICE OR(JER FORM NO.WOE3004-8(H/1 H) <br /> DIXON OFFICE ASBURV ENVIRONMENTAL SERVICES, OBA <br /> 1-H00.T2T-2H99 SERVICE ORDER NO. <br /> FOR ACCOUNTING CALL: N28'16978 <br /> 662-23,_,EEDWORLD OlL <br /> ENVIRONMENTAL SERVICES« <br /> JIFFY LURE S1V98 7300 CHEVRON WAY.OIXON.CA 95620 <br /> �' -aao-�a-zaTa EROAOBASE INC- RR0009 <br /> v 1'130 N, MAIN STREET � 147'1 SHORE STREET <br /> P MONTHLY BILLING WO 8.OF www.WOR LOOILCORRCOM <br /> MANTECAGA 95336 TRANSPORTER EPA x CADO382T/O3H WEST-SACRAMENTO, CA 95691 <br /> b !2091 299-OBBS (916) 3'75-1155 <br /> CUSTOMER fi PURCHASE ORDER p ROUTER TRUCK A CONTACT NAME ORDER TAKEN BY HALIDES <br /> 6 o u c <br /> 0 <br /> DATE REpU1RED DATE ENTERED NEX SER E DATE CUSTOMER EPA p HILL of LADINl3/MAMFEST Y <br /> z2s�zD19 zl9rzo19 cALoaaoi 1 Dsz L---�� �� 6.2 c���' <br /> PA R O 5 PTO OTY UNIT PRICE OTY P/U TOTAL <br /> OWSG OILY WATER SERVICE CHARGE 1 �--f3 <br /> HATCFI <br /> TOTAL <br /> CASH RECO: CHECK S <br /> WASTE DISPOSAL INFORMATION <br /> NON-RCRA HAZARDOUS WASTE,L.IOU[O[USED OI✓MOCEO OILSy STATE CODE 221 <br /> NON-RCRA HAZARDOUS WASTE,LIDUfO(ETHYLENE QLYCOL SOLUTIONS) STATE CODE <br /> OTHER: <br /> OESIONATEO TSOF_ <br /> ALTERNATE TSDF: <br /> Grose Street_ OW O 1001 t O EXP 524/ OK OIXON Ae�aunt Mnnaaa �_ <br /> DRUMS PN: EMPTY DRUMS: FACILITY: BSC APR � � � <br /> GENERATOR WASTE CERTIFICATION{PLEASE CHECK THE AP PROPRSAT $rjllX) <br /> Ina ee,w I nvauy aen:y ua:. <br /> /a (Waste nil ganerafoNcusxomer MUST checK ONE of the following three boxes) <br /> >::.....=.,,:muw.we,n,=..=.�=a=.�.1=m.m.e��,,.e..r=.,.........do.._.. m <br /> =..N��.a�.n:n-.tia.:.n�:e':a:e''�.�.mum.r__�eine..na�m.e.am..na...o..� e�--o.onoo.m..o�eW«.o.a_�..e� ____-_ .mune..e,ewe.ee..:e�u.e<umw.=um.....=.+tea <br /> U = ••_• _ _ re:aw=.m...e....w.e wrm ewrnea:a=......�.:..:.v.==w =.ram:�eulaw� <br /> [) alrm=..=�u=.®=...�u..k wn m�m:m,wmn�an venin v==n=ee wo-myaur�am:om anero`r eene�uenu:v aemm=mmw==nra==�:=•mEsory.o...c...ro,n=uc.aar mr <br /> :�^•=m=•�=�==.:ae�•===Rr:u.maww:`A"9e^"rrators/cnstomerS MUST read Lha following Laoct <br /> u�um a .®....m .�e.� � e. o.e �....a.. a... am...e... o m �:.. .e.... .. e.. � e....o ....... :w..�w:m.w ae <br /> __ �e4m�wai ria'�=mrginnma�oinea'v ieii arar nsne:vu�'m���ia�::in oa�siwe a�ai��'io'c�•=�=moi en�mei e:v=::.::nm ewes <br /> nao'a"ie'em=a e a cnnu'm Qat vy.=.�u - <br /> _ •[tiwi`w mew mli�na:wm=vPev= n�in..v mvvlm. <br /> r"�"6�Lom sl9 nare =Date Iv ��' :.tu T D®ta <br /> ^_�( -E— � LL�rS2 p/����IL�J 1 fVt Pdq�-- <br /> ��.� P=:I� �yr Na Fa <br />