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| <br />/ ^ ' <br /> -)mos Environmental <br /> Se � <br /> es <br /> 1515 South R�8rRd. � <br /> West Sacramento, CA 95691 <br />� ^ 6) 371-5747 INVOICE # <br /> SERVICE � � �� ��1� <br /> SERVICE ORDER ORDER No. ��«��� <br /> DATE JOB NUMBER <br /> �UGTO�sn ^ �8T.�A 77l <br /> �% EPA [dJ��� �2� <br /> 7* ~ ���� �D A�F�T!� <br /> g|u-|mmaoonEGG <br /> 7-1 17�7 r� AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE 22 <br /> 2 � 9O P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> /_ � ` <br /> HALIDES ' ' ` P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> U.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S.,-NA1993, 111, (USED OIL) <br /> FINON RCRA HAZARDOUS WASTE. SOLID-LIQUID START TIME <br /> FJ U.S. DOT DESCRIPTION: END TIME <br /> _' 1A2�RoOuGvV�ST�.u�U|o. N�O.S,e\ mxuouu n/ (E�Hv�eweocvOo4 uSEo0�p|[rERS <br /> UKdG <br /> _ ' <br /> MANIFEST NO. <br /> NO. OFGALLONS <br /> TRUCK NO. ' Dn|vsn <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 in mcertify that the obmm named articles are properly classified, d000hbod, puokagod, marked and |ubn|od, and are in proper condition for <br /> tnannnnnexnn, according mthe opp|ivuu|o regulations of the Department mTransportation. <br /> m`m <br /> � <br /> T= -Net 15 days. <br /> | <br /> After due date, afinonun oho,gn of 1.50% per month, 18.00m annual nato, 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 /> | } dmdom, under penalty vfperjury that the foregoing in ono and ovnom. <br /> x <br />