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daMos Environmental Services <br /> SUN�TA1 1515 South River Rd, <br /> OCT 3 io RE0i West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556SERVICE — <br /> SERVICE ORDER ORDER NO, <br /> BILL OF LADING <br /> DATE <br /> JOB NUMBER <br /> GENERATOR r Ins*;f n i'{��j�p�li - GENERATOR EPA M CAL W0 320 031 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT Grera CHECK NUMBER <br /> PHONE — 209-463=1o6' P.O. NUMBER <br /> JOB SITE ADDRESS 7 <br /> CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N.O.S.,-NA1993, 111,(USED OIL) CODE# <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE START TIME <br /> U.S.DOT DESCRIPTION: END TIME <br /> Z�1 i. <br /> ® {USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE N USED OIL FILTERS DRUMS <br /> MANIFEST NO._�: '( �f �� �- \ 'k NO.OF GALLONS <br /> DRIVER'S SIGNATURE t TRUCK a <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95591 CAD 044003555 <br /> I HEREBY CERTIFY THAT'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 ere 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 faCllity <br /> via Ramos'standardlzed 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 10 produce used oil Into <br /> recycled oil. <br /> Terms-not 15 days. <br /> After due data,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. <br /> GENERATOR FIGNATURE <br /> P4. Hni tr -4 Omn Ar-.— r-r"%rI t <br /> 8s80Z9t60Z VD uoINaols dinbd ale�suns Ad 6&t0 800Z-AON-80 <br />