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R&os Environmental Serves <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> E <br /> SERVICE ORDER ORDER SERVICNo. <br /> DATE JOB NUMBER <br /> CUSTOMER EPA# Dt"'771 <br /> BILLING ADDRESS 2445 E. W'EBETAUN.11, <br /> "AICUCTION,, CA, 952015 AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE (209) 46" P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES A '� P.P.M. <br /> JOB DESCRIPTION , <br /> MATERIALS <br /> U.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S., - NA1993, 111, (USED OIL) <br /> 0 NON RCRA HAZARDOUS WASTE. SOLID- LIQUID START TIME <br /> U.S. DOT DESCRIPTION: END TIME <br /> HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, III(ETHYLENE GLYCOL) USED OIL FILTERS <br /> ':7 <br /> MANIFEST NO. 14 NO. OF GALLONS <br /> TRUCK NO. f+:;.... <br /> DRIVER <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 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-Not 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 EmergencV Response Team: 1-800-456-18PILS <br />