Laserfiche WebLink
os Environmental Servi•s <br /> RECEIVED 95 1515 South River <br /> West Sacramento, CA 95691 <br /> (916) ,371-5747 <br /> — CAD044003556 <br /> SEP 10 2014 <br /> SERVICE145216 <br /> ENVIRONMENTAL HEALTH SERVICE ORDER ORDER NO. <br /> DEPARTMENT BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR GENERATOR EPA# <br /> BILLING ADDRESS p. t <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT 7 _ CHECK NUMBER <br /> PHONE - P.O. NUMBER <br /> JOB SITE ADDRESS 1 ' - CASH RECEIVED (amt.) <br /> HALIDES PRM. <br /> JOB DESCRIPTION t <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE If <br /> STARTTIME 1 7 ?•5 <br /> EINON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME <br /> / <br /> U.S. DOT DESCRIPTION: LEAVE JOB <br /> STOP TIME 2 <br /> r] (USED ANTI-FREEZE)NON RCRA HAZARDOL S WASTE LIQUID CODE# USED OIL FILTERS � DRUMS <br /> MANIFEST NO. <br /> _ NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# - <br /> t' i. <br /> DESIGNATED TSDR RAMOS ENVIRONMENTAL S RVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THI 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 articl 'are properly classified, described, packaged, marked and are in proper condition for <br /> transportation,according to the applicable regulati ns of the Department of Transportation. <br /> Generator's Certification:1 certify that I have a progr in in place to reduce the volume and toxicity of waste generated to the degree 1 have determined <br /> to be economically practicable.Ramos agrees with t e 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 1.50%per month 18.00%annual rate,will be charged on the unpaid balance.The customer agrees to pay reasonahle <br /> costs and attorney fees incurred In the collection oft is obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> leclare,under penalty of perjury that the foregoing I true and correct. <br />