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R&os Environmental Serviss <br />:1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />DATE II — Oi�q— _Eq <br />CUSTOMER NP17 6 S<TE.M PAS' R 00. <br />BILLING ADDRESS 800 W. i::n KCH STT .ET <br />ST -00-10N. CA 95203 <br />PHONE (209) 466-7088 <br />JOB SITE ADDRESS <br />JOB DESCRIPTION <br />F1 U.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S., - NA1993, IQ, (USED OIL) <br />NON RCRA HAZARDOUS WASTE. SOLID - LIQUID <br />U.S. DOT DESCRIPTION: <br />INVOICE # <br />SERVICE �fcc <br />ORDER NO. 350°,° ' <br />JOB NUMBER <br />EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CAD981375157 <br />CASH RECEIVED (amt.) <br />HALIDES P.P.M, <br />START TIME <br />END TIME <br />HAZARDOUS WASTE, LIQUID, N.O.S.,9, NA3082, III (ETHYLENE GLYCOL) USED OIL FILTERS DRUMS <br />MANIFEST NO. �`R �) 4� ?3C4 NO. OF GALLONS <br />TRUCK NO. Y E DRIVER <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH 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 />CUSTOMER SIGNATURE <br />24 Hour E envy Response Team: 1-&-456-SPILL <br />