Laserfiche WebLink
Ralos Environmental Service <br /> RECEIVED 95 1515 South River <br /> V West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> SEP 10 2014 CAD044003556 <br /> ENVIRONMENTAL HEALTH SERVICE ORDER SERVICE <br /> ORDENo. <br /> DEPARTMENTSERVICE <br /> OF LADING <br /> DATE ---- - ---- - ---- --- JOB NUMBER <br /> GENERATOR .._.___ _ GENERATOR EPA # <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT —` ` CHECK NUMBER <br /> PHONES f tt - P.O. NUMBER <br /> JOB SITE ADDRESS ......___ _. CASH RECEIVED (amt.) <br /> HALIDES Z)600 P.P.M. <br /> JOB DESCRIPTION <br /> J0G <br /> MATERIALS <br /> "NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # 7 i START TIME , n U <br /> FINON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME ;i <br /> LEAVE JOB ^C� <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME seri <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. _r� NO.OF GALLONS <br /> DRIVER'S SIGNATURE -6 TRUCK# ` <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 /> Al 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 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 /> declare, under penalty of perjury that the foregoing is true and correct. <br /> X <br /> i, <br /> GENERATOR SIGNATURE <br /> 9a Hnllr Finarnancv RasnnnsP Taam- -800-456-7--745 <br />