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R0 Environmental Servif, <br /> 11 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE -7 Q <br /> SERVICE ORDER ORDER NO. w <br /> BILL OF LADING <br /> :. to <br /> DATE r JOB NUMBER <br /> GENERATOR <br /> And-1-on Tnass GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT '`'' f` CHECK NUMBER <br /> PHONE "- P.O. NUMBER <br /> JOB SITE ADDRESS ;y'` T'`'�" �``tk 'ts CASH RECEIVED (amt.) <br /> HALIDES a c: r P.P.M. <br /> JOB DESCRIPTION " <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N.O.S.,-NA1993,III, (USED OIL) CODE# <br /> FINON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# START TIME <br /> ❑ U.S. DOT DESCRIPTION: END TIME <br /> ❑ (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. �' r r NO.OF GALLONS <br /> DRIVER'S SIGNATURE 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 /> All used oil collected 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 /> Terms-net 15 days. <br /> After due date,a fin-arlce 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 SIGNATURE <br /> 24 Hour Emergency Response Team: 1-6C 0-456-SRiLL <br />