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wamos Environmental Servicese <br /> 1515 South River Rd. <br /> West Sacramento,CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. <br /> BILL OF LADING <br /> U.,TL XJB NUMBER <br /> GENIERAI OR ——-— --- GENERATOR EPA 4 <br /> BILLING ADDRESS <br /> ------- APAOUNI (IF ANyf----- <br /> GENERATOR CONTACT ------ CHECK NUMBER ------- <br /> PHONE PO-NUMBER <br /> JOS SITE ADDRESS CASH RECEIVED <br /> HALIDES <br /> JOB DESCRIPTION .. ...... <br /> MATERIALS <br /> -------------------- <br /> NON PURA HAZARDOUS WAS I L LIQUID,IL)6,ED OILI CODE 0 <br /> NON ROPA HAZARDOUS WASTE. SOLID-UQUID, GOOF 9 START I WE <br /> [ju.,,.Uo'rOtSCPIPU0N, , --I--- <br /> T <br /> �7]{USED ANTI+RbLZONQN PURA HAZARDOUS VVA'OT I,lQt)lrj COBB It USED OIL FlUtR-- DRUMS <br /> NO.OF GALLONS ..... <br /> DRIVEN'S SIGNATURE TRUCK <br /> HtNE8YGfwAHFYTHAI I FOWe NOT UIXIU f1h8AAME WH H ANY OTHER WASTP,AND THE TOTAL HALIEFS ARE LESS THAN 1000F.P.M. <br /> This ie IQ cfftify ho' the "ae rarnel WtLlaQ an, ctamfW, aQzcobod pnecknaed, marked and we ;n ptcpo, condition To, I. <br /> da,spadaftn-according IQ the 3PpII1,.bIe.f,1WotIand Qf IQ0 Dep4olant oflIpInnon"Anon <br /> Centficaton-I cemfy wat I ha'e a ptognam nt jehee to ncluce the vOhme fe"d IcoQfy of waste cefa41b-cl to the ing'a.I n.'o dQ.t'Nq neal <br /> IQ 11T f"aoncibe-Rinf'Is aH'""I"ah thy,WneQ,of sand A5 flhow hQczardow ,wte Fe a.toor,zeTJ IvaareFeva v,,,M.'arQnmnt fa,,hey <br /> o Paefoh'eIaodadi,,d pwmidf wrag.la City <br /> A:ULLU 011—116CIlod fIQrn the 14areWor.'sted attolor,yell be narnsponyd Only To a factIny pemuofId by the State a!Coffunni;t to aex%t uNe3 ad: <br /> Tarnal,-Fiat$5 daxys, <br /> After dut data.a finance cnaga ol 1,o0- Ire,mu Ith,-8,00%annual rate:WN bo,charged on the aqwvf;balance,Piro iatstpmer oMAae to pay vefo.EJ& <br /> cOTAS one 411o,oQY leoc Incµ od w to#coyaQdw of thm ofFigat-on.Venue to,twEpoolfa;of eexcoment of this obligaticrI alo,13 be Yob County <br /> I deviave,under Penalty of perfury,that the F>Ehfy;F;is ade 4nd correct. <br /> X ------- <br /> kQENLHAI(,R SIQwTjRE' <br /> 24 Hour Emergency Response Team: 1-800-456-SPII-L <br /> ---------- <br />