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71 --os Environmental SeAea <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />s r <br />DATE <br />S %' % <br />CUSTOMER ALLIANCE ENVIROMMENTAL SERVICES <br />SERVICE 23731 <br />ORDER NO. <br />JOB NUMBER <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />PSE (2091 -983-5331 P.O. NUMBER <br />JOB SITE ADDRESS STOCMlf ARI:Y AVIATIO14 SUPPORT FACILITY CASH RECEIVED <br />(amt.) <br />2000 STIMSSON ROAD. STOCKT011 CA 95206 HALIDES P.P.M. <br />JOB DESCRIPTION <br />zz <br />MATERIALS <br />�.S. DOT DESCRIPTION: COMBUSTIBLE LIQUID, N.O.S., - UN1270, III, (USED OIL) <br />ON RCRA HAZARDOUS WASTE. SOLID - LIQUID <br />® U.S. DOT DESCRIPTION: <br />® NON-RCRA US WASTE LIQUID (ANTI -FREEZE) <br />MANIFEST NO. <br />TRUCK NO. <br />START TIME <br />END TIME ! �G�--- <br />USED OIL FILTERS DRUMS <br />NO. OF GALLONS <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 9569CAD 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 property classified, described, packaged, marked and labeled, and are in proper edition for <br />transportation, according to the applicable regulations of the Department of Transportation. <br />Terms - Net is 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 duclaro, undot ponmy of perjury that tho tugoinp i6 IWO and Gorfocl- <br />0 <br />"TOMER sac,NATUAe <br />