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R,, Aos Environmental Servi _ s <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CALjU"VO3556 <br /> SERVICE fi f, <br /> SERVICE ORDER ORDER NO. 603 i7 <br /> 7 <br /> DATE ,' $ .6;"L _..._— JOB NUMBER <br /> GENERATOR GENERATOR EPA# .- <br /> BILLING ADDRESS - <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N.O.S.,-NA1993,IT,(USED OIL) CODE# <br /> O NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# START TIME <br /> 1-1 U.S. DOT DESCRIPTION: END TIME <br /> 0 (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. _ NO.OF GALLONS <br /> DRIVER'S SIGNATURE LJ> -{"z -- il Z TRUCK# <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 are in proper condition for <br /> transportation, according to the applicable regulations of the Department of Transportation. <br /> Generator's Certification:1 certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Rams'standardized permitted storage facility. <br /> Terms-net 15 days. <br /> Atter 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 /> GENERATOR SIGNATURE �- y �. �5 t , <br />