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MOM <br /> Ramos Environmental Services <br /> �bc3� <br /> a <br /> 1515 South River Rd. <br /> S1. West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD04.4003556 <br /> SERVICE ORDER NO. 614 3 <br /> SERVICE ORDER <br /> DATE r — J JOB NUMBER JJ`�V �jQ <br /> CUSTOMER /• 7- 6S w- EPA # 'C/4- mg 0Q 2-700 / <br /> - BILLING ADDRESS y.S <br /> AMOUNT(IF ANY) <br /> - - • PHONE 'j CHECK NUMBER <br /> JOB SITE ADDRESS ��llG /SGL P.O. NUMBER 2�7�--� <br /> y0-S`�.�,/lli�+Lr Wyc„ f�f�• - CASH RECEIVED - (amt.) - <br /> STDG/Ll'l% e Gee_e7 HALIDES WOWP.P.M. <br /> NOTES 1AAR-2h-M <br /> ❑ U.S.DOT DESCRIPTION:WASTE OIL,COMBUSTIBLE LIQUID-UN1270,III e' / <br /> .11.S.DOT DESCRIPTION:NON RCRA HAZARDOUS WASTE. SOLID-LIQUID <br /> ❑U.S.DOT DESCRIPTION: TRUCK TIME 1, <br /> ❑U.S.DOT DESCR�I�iTION:�_. n 2 NO. OFUSED IL GALLONSMANIFEST,NO <br /> .-`I //� > Z f <br /> TRUCK NO. DRIVER <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 4003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT This is to certify that the above named articles are properly classified,described, <br /> MIXED THIS WASTE WITH ANY OTHER packaged, marked and labeled, and are in proper condition for transportation,accord- <br /> WASTE,AND THE TOTAL HALIDES ARE Ing to the applicable regulations of Department ptTransportation. <br /> LESS THAt"000 P.P.M. X �/ <br /> CUSTOMERSIGNATURE i <br />