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ALLIANCE PRINTING ASSOCIATES-562:594.7976 ASBURY ENO . 'NO.W_O�.E8.._0.0.2 B (�5.�118.); — VIR FOR SERVICE CALL: DIXON �,, i 1-800-727=2879. . _;� h, FOR ACCOUNTING CALL: w, 562-231=:1550 WORLD:SIL.® IY 7300.CHEVRON WAY DIXON,CALIFORNIA. 95620'' ..(800)727-2879. EPA#CAD028277036 Date ' Customer ..Customer» r'� o rya' Y -^ e _ i. EPA# = �.'., f i y Address ,r-� t ; , . : , w >.. � PO# ,r r Commodity City t'µ,<- ai? c State Zip YY .3 r: :. . Halides PPM Phone Contact .. Amount Cash ❑ Check# Notes: Waste Disposal Information .. .. ❑ NOWRCRA HAZARDOUS WASTE,LIQUID(USED OlUMIXED OILS)STATE CODE 221 ❑. NOWRCRA HAZARDOUS WASTE;LIQUID(ETHYLENE GLYCOL,SOLUTIONS).STATE CODE ❑ . NON-RCRA HAZARDOUS WASTE,SOLID.(FILTERS CONTAINING OIL).%ATE CODE 0 NON-RCRA HAZARDOUS WASTE,LIQUID(OILY WATER)STATE CODE 135 : :. OTHER MANIFEST# ,^ . NEXT SVC DATE::. DRUM:SIZE QUANTITY% -` ... TRUCK NUMBER DESIGNATED TSDF; ❑ WORLD OIL RECYCLING*2000 N:ALAMEDA STREET*COMPTON;CA 90222*CAT080013352*(310)537-7100 ❑ WORLD OIL,ENVIROMENTAL SERVICES*2549 SCO'ITAVENUE*CHICO,CA 95928*CAL00082784-4-(800)733-9043 ` ❑ WORLD OIL ENVIROMENTALSERVICES-CHiC.O I.I;LLC*1618iN:5TH STREET*CH1CO3 CA 95928*CAD980694103.*.(800)733-9043 ❑ WORLD-OIL.ENVIROMENTAL SERVICES-FORTUNA*200 DINSMOREbRIVE*FORTUNA;CA-95540.*CAL930256136"(800).733=9043 .❑ WORLD OIL ENVIROMENTAL.SERVICES*.7300.CHEVRON WAY*DIXON„CA.95620*CAT080012602*:(707)693-6008 ❑ -YES MANAGEMENTS INC.6500 US HIGHWAY 95,YUMA;AZ 85365*AZR000521146:*.(928)344=9828 ❑ `RAMOS ENVIROMENTAL'1515 S.RIVER ROAD*W.SACRAMENTO,CA95691*CAD044008556*(916)371-5747 . �y.'WORLD OIL ENVIROMENTAL SERVICES*.1920 MORGAN RD,STE AES*CERES,CA 95358*CAL000393680*(209)541-1.825' ❑ :_BAKERSFIELD TRANSFER-INC.*1620 BRUNDAGE LANE*BAKERSFIELD,CA 93307*CAL000282598*(661)377-0308: .. 0 WORLD OIL-SAN JOAQUIN,LLC*14287 E:MANNING AVEPARLIER,CA 93648*CAL000102751'*(559)498-0240 GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE BOX) By signing below I hereby certify that: (Waste oil generator/customer MUST check ONE of the following three boxes) '(M 81)1 have not mixed any of the waste descdbed an the service order noted"#with any other hazardous waste,the total Halide content Is 1-ESS than 1,000 ppm;and tfiewaae does riot contain any PCBs.I have complied with the requirements' of the applicable California used oil management regulations to determine this Is true:l agree to accept the additional charges for the disposal of this waste if the Information I have provided about this waste Is incorrect. Y` v • n Y Y ppm,and thewastedoes not.contein any PCBs.l have provided proper documentation (Q 82)I have not mixed an of the waste described on the service order noted above with other hazardous waste,the total halide content Is GREATER then taworid Oil Envirorimental Seryices to rebut the presumption that this-waste wasmixed with ether hazardous waste.I pgree to accept-the additional charges for the disposal of this waste If the Infonrtatlon 1 have provided about this.waste Is incorrect. (M 413)This waste Is from a tank which collects waste oil from household Mo-it-yourself'(0'M.. DIY)and,or condttloneilyexempt small quantity generator(CESOG)sources.To the best of my krwwledge,the only waste oil contained in my DIY/CESOG collection tank is sdety'irom OIYICESOG sources.I have-not mined this waste oil with any other hazardous waste or wasteroil tram other sourceg.I agree td accept ilia addNonal charges for disposal of this waste fEthe)nforrnation l have provided sheat th)s waste is Incorrect. (All generators/custo'mers MUST read'the following:text). : I certify that I have a program in place to reduce the volume and toxicity.of waste generated to the degree i have determined to be acenomicelly praetic4ble and that 1 have selected the practicable method of treatment,storage,or disposal currentty available tome which minimizes the present and futurethreat to human life and the environment. .. - .. This individual signing In the space set forth below on behalf of Customer represents and warrants that helshishes the authority to bind Customer,that the forgoing description of waste and materials are true and.aocurate as packaged,marked and Iabeled,are ready tortransportation in accordance with applicable state and federal regulations and that Customer shall abide and be bound by the Standard Terms and Conditionson the revere aide of this Service Order.: - '