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A.amos Environnwntal �ervlwes <br /> 1515 South•fiver Rd. <br /> West Sacramento, CA 95691 <br /> - (916) 371747 INVOICE # <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER 140. 172729 <br /> �., BILL OF LADING <br /> yr. <br /> DATE 3 - ,Q- k4n JOB NUMBER <br /> GENPRAT014 �tlt w9 §te F.al Pmnt GENERATOR EPA# CAL QQ0 329 03 _ <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT. Gres Wilcox CHECK NUMBER. <br /> PHONE 209-4E+3--1682 P.O.NUMBER <br /> JOB SITE ADDRESS 75 E, E4t►i nt Ctq French Cmip 95231 CASH RECEIVED (atm.) <br /> HALIDES P.P.M. <br /> -„r.. JOB-DESCRIPTION <br /> �t L <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N,O.B.,-NA1993,15,NEED OIL) CODE# <br /> NON.RCRA HAZARDOUS.WASTE• SOLID-LIQUID CODE# START TIME <br /> CJS DOT DESCRIPTION END TIME ZA �- <br /> +,: (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE It A y t, USED OIL FILTERS DRUMS <br /> C.t�4 <br /> tit J 1 MaJA NO.OF GALLONS ti L <br /> MANIFEST NO.o i1Gr <br /> DRIVER'S SIGNATURE_ C_ — TRUCK# aL� <br /> DESIGNATED TSDF:RAMOS FNVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 96891 CAD 044009556 <br /> .I HEREBY CERTIFYTHAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTO,AND THE TOTAL HALIDEP,ARE LESS THAN 1000 P.P.M. <br /> This is to certify that the above named articles are property ciasslfied, described, packaged, marked and are In proper condition for <br /> transportation, according to the applicable regulations of the Department of Transportatlon. <br /> Generator's Certification:1 certify that I have a program in place to reduce the volume and.toxictty of waate generated to the degree I have determined <br /> to be economloalty practicable.Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment fad* <br /> via Ramos'standardized pemtitied stofage facility. <br /> All used oil oollected 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 /> Tums-nat 15 days. <br /> After due date,a finance charge of.1.50%.per month,18.00%annual rate,will be charged qn the unpaid balance.The customer agrees to pay.reasonabie <br /> costs and.attornay fees Incurred in the oolleotlon of this obligation,Venues forpurp06ea of enforcement M this obligation shall be Yolo County. <br /> I declare,under p9nalty of perjury,that the foregoing Is true and oorrect.' <br /> X � <br /> ?i:-•i' dET1EPtATOp BIOPIATURE <br /> 2444 Oz <br /> Response Team; 1-800-456-;SPILL - <br /> Zl E£EO£9b6OZ VJ uojj3o}5 dinb3 ajelsunS WV £O ll OIOZ-AV-l0 <br />