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' v V UV V11.1 . l\AI.1V�l L\Ill\VI\1.1L1\l[1L .T Z/ T <br /> .x i I �g <br /> INe �'I CA''95B9f <br /> 04VOICE. <br /> C03556 <br /> VICE <br /> SERVIM. ORDER OR ER NO. 9 98 <br /> - DATE. — �1c' JOB NUMBER <br /> ' CUSTOMER EPA <br /> BILUNG ADDRESS <br /> AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> .I PHONE P.O.NUMBER - Zlrz��y j <br /> — JOB.SITEADDRESS 17,4 Coe /'! /'C CASH RECEIVED .(amt) <br /> 2 3 <br /> 00 oe. F/!'I/T dL/ HALIDES P.P.M. <br /> — JOB DESCRIPTION. ST C/ f(.�CU tC,4G/ <br /> MATERIALS <br /> U.S: DOT DESCRIPTION[-WASTE PETROLEUM OIL, COMBUSTIBLE LIQUID -UN1270,18 <br /> f <br /> U.S. DOT DESCRIPTION:NON RCRA HAZARDOUS WASTE. SOLID - LIQUID - <br /> U.S, DOT DESCRIPTION: <br /> TRUCK.TIME <br /> n/ J / USED OIL FILTERS _ -_ <br /> - MANIFEST'NO. T (� R 3 7' _._. . _. NO. OF GALI.O(48 <br /> TRUCK NO. DRIVER <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES.-1515-SOUTH RIVER RD.WEST SACRAMENTO 0" CAD 044009656 <br /> 1 HEREBY CERTIFY'.THAT-I'HAVE NOT WXED THIS:WASTE WITH ANY.OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN IWO P.P.M.TMj&%)`CQrWV MALUM alalyn rMn"j-ertln4rn am r rht Yla091ded devrnh d nwlrnm 1 mnrYnd fn.,r i.r./.• ..� ... i. n. . m <br /> 0WISPormOm.according to the aPPlkeble re9rrlatlms of Bre Department.of Transpodadon. <br /> Temw%Ne1 16 days - <br /> AtW due'daml:a..finar a charge of T.50%Per month;18-W%armLial rale,will be charged on the.unpaid balance:The customm agrees to pay reasonable <br /> Cosm.and adomey few incurred In Me Collection of this obigaaon:.Venue for purposes of erdorcament of this obigabon shall.be Yoko County. <br /> I declare,underpenalty of per)ury that the.foregoing Is true and.correct <br /> .. _ .. �CUSTOWA SC"TURE�SiC"TURE <br /> 24 Fffsui�Emergency Response'Team:.1-800 456-SPILL` <br />