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/ <br /> | � ����� Environmental <br /> -~~~ ~'~~-~ <br /> 1515 South River Rd. <br /> � <br /> West Sacramento, CA 95691 <br /> | 8\ 371-5747 INVOICE # <br /> / C&O044003556 <br /> SERVICE � � �� '��� <br /> SERVICE ORDER ORDER No. ������ <br /> { <br /> | <br /> DATE JOB NUMBER <br /> | Z�� S�T.�&�� <br /> / <br /> CUSTOMER - EPA# ' <br /> 2��5 � ��8�� ����lBILLING � <br /> BILLING ADDRESS ~ <br /> AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> | <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> ! <br /> /- � ` � <br /> | HALIDES ' - ' P.P.M. <br /> ! <br /> JOB DESCRIPTION <br /> � <br /> MATERIALS <br /> U S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S.,-NA1993,III, (USED OIL) <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID START TIME <br /> FILI.S. DOT DESCRIPTION: <br /> | <br /> | <br /> END TIME <br /> _8- <br /> HAZARDOUS vvAGTs uQu|o. w/Io, o. mxunuo. 00(ETHYLENE oLYoou USED 0L�oEnG ]onUMG <br /> � <br /> MANIFEST NO. NO. OF GALLONS <br /> | <br /> TRUCK NO. � DRIVER <br /> oEG|GN/nEoTSop RAmOGENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO eaee1 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000P.P.M. <br /> This intocertify that the ouvvn named articles are properly classified, moovnuou, pavmogou, marked and |u»e|eu, and are in proper condition for <br /> tmnapvmatinn, according mthe applicable regulations of the Department mTransportation. <br /> terms'Net 15 days. <br /> After due uam, ufinance charge of 1.50m per month, 18.00m annual natv, will be charged on the unpaid balance. The customer agrees to pay mmmnumn <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 /> |den|om, under penalty ufperjury that the foregoing is true and correct. <br /> ' <br /> CUSTOMER SIGNATURE <br /> \ ' 24 Hour Emergency Response : 1PUN L <br />