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Ramos .Enviror ,,mental Services <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />GAD044003556 <br />SERVICE ORDER <br />DATE 00 - <br />CUSTOMER <br />-CUSTOMER 1f9,1AAK' S1F2PA Pfi.nbP <br />BILLING ADDRESS S(j') W - CII RCi3 STREET <br />ST()^" Orf "A SS"03 <br />INVOICE # <br />SERVICE <br />ORDER NO. <br />JOB NUMBER <br />EPA .# :APtiQ'•_ 75; S i <br />`'i`a AMOUNT (IF ANY) <br />CHECK NUMBER - <br />PHONE (2,09) 466-7088 P.O. NUMBER <br />JOB SITE ADDRESS <br />JOB DESCRIPTION <br />MATERIALS - <br />CASH RECEIVED (amt.) <br />✓ ,: <br />HALIDES P.F.M. <br />U.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S., - NA1993, III, (USED OIL) <br />❑ NON: RCRA HAZARDOUS WASTE. SOLID - LIQUID START TIME <br />U.S. DOT DESCRIPTION: END TIME <br />NON-.RCRA HAZARDOUS WASTE LIQUID (ANTI -FREEZE) USED OIL FILTERS DRUMS <br />MANI FEST NO.' _.. ._. ._.... .� 7 C/ NO. OF GALLONS <br />TRUCK NO. f/Y DRIVER <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br />1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. <br />This is to certify that the above named articles are properly classified, described, packaged, marked and labeled, and are in proper condition for <br />transportation, according to the applicable regulations of the Department of Transportation. <br />Terms - Net 15 days. <br />After due date, a finance charge of 1.50%e per month, 18.00/ annual rate, will be charged on the unpaid balance. The customer agrees to pay reasonable <br />costs and attorney fees incurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shall be Yolo County. <br />I declare, under penalty of pedury that the foregoing is true and correct. <br />_ f <br />24 Hour Emergency Response Team: 1 -800 -456 -SPILL <br />