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Rbmos Environmental Serv.t►es <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> tin (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE �1 n o <br /> SERVICE ORDER ORDER NO. 9598 <br /> rr <br /> DATE _ �'�r JOB NUMBER <br /> CUSTOMER T �,F7' EPA a <br /> BILLING ADDRESS '' J S /'7i+(/'7i� e- moi" by' <br /> 65 <br /> �+c;�).l./f•' illi-G ' 1 C1 AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE P.O. NUMBER �E/ ,'1' -7' � <br /> JOB SITE ADDRESS •� %�,Li = ��✓�C CASH RECEIVED (amt.) <br /> iZ - <br /> ` 7 O[; /2 u� �'/�"T !iZ/���`� irh HALIDES P.P.M. <br /> •r <br /> JOB DESCRIPTION -•�����-�w �e`r`'it <br /> "% Tom•C(L sic L{G`lr� u"" Vii/ <br /> MATERIALS �`�_�' t��/ /�' ' �T36 �x' fi/fil.✓r- . <br /> LU.S. DOT DESCRIPTION: WASTE PETROLEUM OIL, COMBUSTIBLE LIQUID - UN1270, III <br /> U.S. DOT DESCRIPTION: NON RCRA HAZARDOUS WASTE. SOLID- LIQUID <br /> FIU.S. DOT DESCRIPTION: TRUCK TIME- <br /> USED <br /> IME USED OIL FILTERS _ <br /> MANIFEST NO. �-' �' �� f - - NO. OF GALLONS <br /> TRUCK NO. ^ DRIVER <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 15.15 SOUTH RIVER RD.WEST SACRAMENTO 9569-r-`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 /> X <br /> CUSTOMER SIGNATURE <br /> 1. <br />