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Ramos Environmental Services ECE RECEIVED <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 MAR221201.6 <br /> CAD044003556 <br /> ENVIRON MENI AL <br /> SERVICE ORDER ORDER NO. 1 034 <br /> BILL. OF LADING <br /> DATE +' L). - <br /> 1 JOB NUMBER -. <br /> GENERATOR <( I.�• =% I: J 7 '4% r.. GENERATOR EPA'# <br /> BILLING ADDRESS . - C 1� 0 <br /> AMOUNT IIF ANY): <br /> GENERATOR CONTACT CHECK NUMBER <br /> .,;. <br /> PHONE <br /> r ' C C. ..—r�_ f <br /> ,< -P s ✓ <br /> P.O. NUMBER <br /> JOB SITE ADDRESS CASH- (amt,) <br /> 4 <br /> t HALIDES t ••b'<<.,1 P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS i" .L t V;.�-K, Z_ 'f+: t ''} <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# e� 1 { START TIME <br /> ARRIVE TIME 7"a 4v, <br /> NON7RCRA HAZARDOUS WASTE. SOLID'-iIOUID. CODE# - - - ,� -- <br /> LEAVE JOB <br /> ❑ U.S.DOT DESCRIPTION: STOP TIME ct i'3 <br /> (USED ANTI FREEZE)NON RCRA gHAZARDOUS WASTE LIQUID CODE# :USED OIL FILTERS ..DRUMS <br /> MANIFEST NO 0 tJC''.b=� ` ,.1 ti's`{ '-k-..� 0'*.,. NO.OF GALLONS aJw\ 'V <br /> .-� ,g <br /> DRIVER'S SIGNATURE"- "^- j - 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 HALIDESARELESS THAN 1000 P.P.M. <br /> This into. 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'&.Certifcation: I Certify that I have a program in place toreduce 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 toa facility permitted by the State of California to accept used oil. <br /> Terms-net 15 days. <br /> Atter duedate a finance,charge.of 1.50%per month, 18.D0%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 Yelp County. <br /> I declare,under penalty of perjury that the foregoing is true and correct 7-`. <br /> X <br /> -- GENERATDYt51GNATdE3E�� ' <br /> 24 Hour Emergency Response Team: 1 8�G 4C�8-�"745 <br />