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Rpnos Environmental Serves <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556SERCE <br /> �+ <br /> SERVICE ORDER ORDER NO. 1. l[3 <br /> BILL OF LADING <br /> /. <br /> DATE >✓ Fes ' JOB NUMBER <br /> � <br /> GENERATOR San eSA&BTA Co. Park ik Rer/Qek Grove Park GENERATOR EPA#CAL 000 262 709 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT Charles Ruiz CHECK NUMBER <br /> PHONE Cell 209-405-1823 or 20"53-;,W2 P.O. NUMBER <br /> JOB SITE ADDRESS 4520 W. Eight Xi.le Stocktor, 95209 CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION ' <br /> MATERIALS <br /> FICOMBUSTIBLE LIQUID, N.O.S.,-NA1993,UI, (USED OIL) CODE# r <br /> ZNON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# ~���,. STARTTIME • Ci <br /> U.S. DOT DESCRIPTION: END TIME Z " F1 <br /> ❑ (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO.�! `u 5�`'?y-' ( --)) t( NO.OF GALLONS r' <br /> �f r <br /> DRIVER'S SIGNATURE_ •- � TRUCK If <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 produce used oil into <br /> recycled oil. <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. 1' <br /> X v ` <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1-800-456-SPILL <br />