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Roos Environmentai Servos <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 4 6 3,13 <br /> DATE JOB NUMBER <br /> CUSTOMER EPA# <br /> V71-TIP A` FINUF <br /> BILLING ADDRESS <br /> '5 <br /> 4 <br /> AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> Z") <br /> 7: <br /> MATERIALS <br /> 'JaU.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S.,-NA1993,111, (USED OIL) <br /> F-� NON RCRA HAZARDOUS WASTE. SOLID- LIQUID START TIME <br /> 1-1 U.S. DOT DESCRIPTION: END TIME <br /> -t(HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, III (ETHYLENE GLYCOL) USED OIL FILTERS DRUMS <br /> P- <br /> MANIFEST NO. D <br /> NO.OF GALLONS <br /> TRUCK NO. DRIVER <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 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 /> 24 Hour Emergency Response Team: 1-800-456-SPILL <br />