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1mos Environmental Servi C A <br /> 1515 South River Rd. Q 12 <br /> West Sacramento, CA 95961to <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. <br /> BILL OF LADING <br /> DATE _. _________-- JOB NUMBER _._.. <br /> GENERATOR GENERATOR EPA 4 L �,. <br /> BILLING ADDRESS <br /> ............ AMOUNT(IF ANY) <br /> GENERATOR CONTACT <br /> ___—...... CHECK NUMBER <br /> PHONE __-- P.O. NUMBER �_- <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> _.... HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# <br /> O NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE # START TIME <br /> U.S. DOT DESCRIPTION: _ END TIME <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL.FILTERS DRUMS <br /> MANIFEST NO._ ' —_—. NO.OF GALLONS _ <br /> DRIVER'S SIGNATURE 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 articles are 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 /> Terms-net 15 days. <br /> After due date,a finance charge of 1.60%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-SPILL <br />