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t-samos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> SuN�T �F (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE ORDER ORDEIR NO- <br /> BILL OF LADING <br /> DATE � �: 7 t c. ' •; <br /> JOB NUMBER <br /> GENERATOR 1u:wtuCe E.q 31�s1F;'t _ GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT Urea _ CHECK NUMBER <br /> PHONE 1t•,9-463-1666: P.O. NUMBER <br /> JOB Srr9 ADDRESS 73 CASH RECEIVED (amt.) <br /> {{ HALIDES P.P,M. <br /> JOB DESCRIPTION �� I k' - i �.• ( f <br /> MATERIALS <br /> Ij COMBUSTIBLE LIQUID,N.O.S..-NA1993,AI,(USED OIL) CODE tl <br /> E7 NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# START TIME <br /> U.S. DOT DESCRIPTION: _ END TIME <br /> (USED ANTI-FREEZE)NQN RCRA HAZARDOUS WASTE LIQUID CODE# _ USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO,OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003566 <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 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 /> vie Ramos'standardized permitted storage facility. <br /> All used oil collected from the generator listed above will be transported only to a facility permittod by the Slain 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 oollaotion of this obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> I declare,under penalty of pejury that the foregoing is true and correct. <br /> X •. �� <br /> FN614ATaR SIONATUR6 <br /> 7d Wnl It- Fn'tnzryan-i, f.;;^rn :1r:%= <br /> SE8OE91760Z yD uol�:)CIS dinb3 ajejsunS Wd 6£.-V0 800Z-AON-80 <br />