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--lamos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE ORDER SERVICE 114571 <br /> ORDER N0. <br /> BILL OF LADING <br /> DATE <br /> JOB NUMBER <br /> GENERATOR Lndi9 oats GENERATOR EPA# CAL 000 340 808 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT t9ax1- <br /> PHONE 209-368-1400 CHECK NUMBER <br /> P.O.NUMBER <br /> JOB SITE ADDRESS_8A7 N (`l ff T d{ 957 0 <br /> CASH RECEIVED <br /> HALIDES L 1Q-A O P.P.M. <br /> JOB DESCRIPTION 11 <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N.O.S.,-NA1993,III,(USED OIL) CODE#- 0� <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIOUID CODE#. START TIME <br /> U.S.DOT DESCRIPTION: END TIME <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS <br /> _DRUMS <br /> MANIFEST NO. 40 p N0.OF GALLONS ��a <br /> DRIVER'S SIGNATURE_ 1�i TRUCK N -� <br /> r — <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD.WEST SACRAMENTO 96691 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 property classified, described, packaged, marked and are In proper condition for <br /> transportation, according to the applicable regulations of the Daparlment of Transportation. <br /> Generator's Certification:1 certify that I have a program in piece to reduce the volume and ImI011y 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 facili <br /> via Rambs'standardized permitted storage facility. ty <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the Slate Of California to produce used oil Into <br /> recycled oil <br /> Terms-net 15 days. <br /> After due date,a finance Charge Of 1.50%par month,18-00%annual rate,will be charged On the unpaid balance.The customer agrees to pay reasonable <br /> costs and attorney fees incurred to the colieotlon of this obligation,Venue for purposes of enf Cement of this obligation shall be Yolo County. <br /> I declare,under penalty of perjury that the foregoing Is true and correct. <br /> X <br /> GENER4TOR 81ORAII" <br /> 7A <br /> 16'0 µ.�j <br /> W^l Ir Gmormm�i+v t2nonnnea Tonrn- 1_nM-A.FR_QDII I <br />