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i S15 Shvth Rivm Rom Ramos OB Rec tlen \ <br /> West Secrpp1en BW of Ladin <br /> �.CA 95691 <br /> py'.a 9I No: 2 21741 <br /> ( 6)3713 47 Order Dalr. <br /> sham Pu:n 371-am, Takeo c CANCIWER <br /> AHha� y,(�yk Ka1ECWc <br /> SAC RAZ 1006 <br /> EPA JD# <br /> Castomtr: ARBATE FARMS <br /> 1781 SHANTZ WAY 8—DU` <br /> TRACY,CA Eud Daft: <br /> 95376 1 <br /> Contvct: <br /> Jab Phone: 2094 209-470-5637 <br /> Job Location: 14301 S ROBERTS RD, BW To: 10096 <br /> STOCKTON CA 95206 BW e: EW of Ldin 1 <br /> Fathmted Hmn: .00 <br /> P.O.# <br /> fished For: Y10903 OOA00 <br /> SIC VO <br /> Dmcri ti— <br /> PVMP OUT USED OR.FB#I: 0415 <br /> DELIVER USED END OIL FILTER DRUMS(2) <br /> Materials: <br /> HALH3ES L�ii r.�O PPM START TIME: <br /> _Non RCRA HAZARDOUS WASTE SOLD)(USED LIQUID L)CODE# 2'J! ARRIVE TIME: <br /> Non RCRA HAZARDOUS WASTE SOLID—LIQUID CODE# LEAVEJOB: <br /> STOP TDYIE: <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OUFH. <br /> NO.OF GALLONS <br /> MANIFE,4T NO.�y,�4'D� = <br /> DRIVER'S SIGNATURE <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES 1515 S.RIVER Rd.WEST SACRAMENTO 95691 CAD 0440035% <br /> 1 HEREBY CERTTFV THAT I HAVE NOT MIXED THIS WASTE WITH ANY D'THER WASTE,AND TOTAL RAUMES ARE LESS TORN lero PP.M. <br /> ThD 410 eertl(y I,h <br /> I above homed*rut are properly HuelOed,dncribM,packaged marked nd ue b proper caoMtlovfvr mvapvrtadoa aaording <br /> m a6e appDwbldagWvtlova o/she Departmeolvf......rtadvo. g<vm[ Ihar<dnermlvM to he <br /> ee.wire'"CrAdwtlov:Icertifylhm Ihavav Pragrvm Iv Plac dtvll the ieM1azvrdvus wade to an aul6orhedhaae��ohf wuhdVutm<v[faeWty Na Ramu' <br /> vavdca0y practlrable.Aamor vgren with lh<gevvator lv van <br /> eCandvdlud permitted storage Dcitlfy. <br /> All used oD ellerted from the generaivr lined above will be freneporlM Dulyb•facility permitted by the Sn<a of CallforWv to acapl uved oa. <br /> Terms—nell5daye 0l be cbvr d.......balavices.The wammer agrees to payreuov.Ml cnh <br /> Aflec due date,•0vev<e chvrgc W I.SU o Per month,18.00•/.vveual role,w Le <br /> vvd anorvey fen Incuned W the collectlov of Wh'ft'6vv.Veoue for phrpove.of evforcemeel of Ihb ehBCvtlov ahvil b<V'vlo Couv7 <br /> 1 declare,under pevelly of perjury that the f"M'Wg b true and rorrecl. <br /> Generator Signature: <br /> �0 l' 1tV( C1 <br /> PAID BY:CASH_I CHECK <br />-`ice <br />