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s" <br />c <br />Aos Environmental Servs <br />3 9i" <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />INVOICE # <br />CAD044003556 <br />,ORDER <br />SEi;VICE <br />SERME <br />ORDER NO. 272383 <br />DATE :i 4' l <br />JOB NUMBER ,. <br />CUSTOMER NErv,.t1R1r SI FRRA,i <br />81.9. <br />EPA # � C1�:�394 �7R �15% <br />BILLING ADDRESS <br />';Ti.:.r;<TOINT« (:A 9520'. <br />AMOUNT (IF ANY) <br />- <br />CHECK NUMBER . <br />PHONE 466-5251 <br />P.O. NUMBER <br />JOB SITE ADDRESSA <br />CASH RECEIVED (amt,) <br />HALIDES `---,._...._P:P;M. .. <br />JOB DESCRIPTION <br />VJAfD <br />_ <br />MATERIALS <br />U.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S., - NA1993, III, (USED OIL) <br />NON RCRA HAZARDOUS WASTE. SOLID - LIQUID <br />START TIME <br />❑`U.S. DOT DESCRIPTION: <br />END TIME <br />FI NON-RCRA HAZARDOUS WASTE LIQUID (ANTI -FREEZE) <br />USED OIL FILTERS DRUMS <br />MANIFEST NO. � r� ` �9 " . :. ... _....- <br />...,. �.. /r� AA "- <br />NO. OF GALLONS a Z.-[.. ti.�.A,4 t <br />TRUCK NO.s"`S <br />" � <br />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 />, <br />nv1 ' ✓s r �. <br />CUSTO ER SIGNATURE <br />24 Hour Emergency Response Team: 1 -81&456 -SPILL I V <br />