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Rwmnos Environmental Series <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> v (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> , <br /> .� SERVICE ORDER ORDERSERVICE NO. 9598 <br /> DATE r JOB NUMBER <br /> CUSTOMER C ' C=PA # <br /> BILLING ADDRESS �' C� 7f ULC C �'L " <br /> AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE P.O. NUMBER ' <br /> JOB SITE ADDRESS —__ •fin r—i:` /ice=C� CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION �'^C f �� C_01', <br /> i <br /> `� --%'�� 1:G•CafC .��r...��.;���� Irl:_-� �``T.�- ,�w'�-� <br /> MATERIALS �..rl, `%��'l/.' _ li''• -- � L ' �i/mfr --- - - <br /> �.w <br /> ❑ U.S. DOT DESCRIPTION: WASTE PETROLEUM OIL, COMBUSTIBLE LIQUID - UN1270, IIIA <br /> U.S. DOT DESCRIPTION: NON RCRA HAZARDOUS WASTE. SOLID- LIQUID- <br /> E] U.S. DOT DESCRIPTION: TRUCK TIME'.-, <br /> r _ <br /> USED OIL FILTERS <br /> MANIFEST NO. � ,] ` �l' NO. OF GALLONS <br /> TRUCK NO. �` --, - -- _..-- DRIVER <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SQUTH RIVER RD. WEST SACRAMENTO 95691—`CAD 044003556 <br /> I 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% 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 perjury that the foregoing is true and correct. <br /> 4.+ X - <br /> CUSTOMER SIGNATURE <br />