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` Ramos Environmental Services <br /> 1515 South River Rd <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br />' SERVICE 33569 <br /> SERVICE ORDER ORDER NO <br /> DATE JOB NUMBER <br /> CUSTOMER EPA# CACr012 7 61 Zj <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> CHECK NUMBER <br /> r 209` X68--3357 <br /> PHONE � P O NUMBER <br /> JOB SITE ADDRESS CQT';w''Y'Y OF-SAP KIAC;EiT /4G rI'?sNhwTSSIINFI� CASH RECEIVED (amt) <br /> 503 EAST 10TI: S,F'FT* TPACY, C4 HALIDES P P M <br /> JOB DESCRIPTIO <br /> fa OL <br /> /r <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 t ,'�t� Ay, <br /> ❑ U S DOT DESCRIPTION END TIMES <br /> NON-RCRA HAZARDOUS WASTE LIQUID (ANTI-FREEZE) USED OIL FILTERS DRUMS <br /> MANIFEST NO NO OF GALLONS �(�L <br /> TRUCK NO r` -- _ __— DRIVER - 7 <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- 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 /> 0 l declare under penalty of perjury that the foregoing Is true and correct <br /> L COST MER SIGn{AIzUREJ <br />' 24 Hour Emergency Response Team: 1-800-456-SPILL <br />