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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 166613 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR X"64^- t-' �' •��-) '�`4*'�"/�/� �,�. 5 GENERATOR EPA#d/IL rt�a->X��E-�� <br /> BILLING ADDRESS 4L?Ael 5. ''�__// <br /> l�k �/'Ur C' SpK[„31.� AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE �f. 1 �c�c`S' ���=+CJ P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> t HALIDES P.P.M. <br /> JOB DESCRIPTION 2C-)C, Lilt✓ \.-'�.,\\ <br /> MATERIALS ^� i <br /> X�, NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# Z C_, 1 START TIME <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# &S 0 <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: STOP TIME <br /> ❑ (USED ANTI-FREEZE) NON <br /> `7RCRA <br /> a.HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS MS <br /> MANIFEST NO. 0( `"t 1 I ] t�!' I � NO.OF GALLONS -2_?o <br /> DRIVER'S SIGNATURE �I,zi TRUCK# <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 articlesare properly classified, described, packaged, marked and are in proper condition for <br /> transportation,according to the applicable regulations of the Department of Transportation.- <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Ramos'standardized permitted storage facility. <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the State of California to accept used oil. <br /> I <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 /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> X _. <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />