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*os Environmental Serves <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERCE <br /> SERVICE ORDER ORDER NO. <br /> jt F BILL OF LADING <br /> f l <br /> DATE - JOB NUMBER <br /> GENERATOR GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT ' '` CHECK NUMBER <br /> PHONE <br /> P.O. NUMBER <br /> JOB SITE ADDRESS <br /> " CASH RECEIVED (amt.) <br /> Lath7p, CA 95330 HALIDES P.P.M. <br /> JOB DESCRIPTION ;k.-:' g-•' , �. • 7°s ,. <br /> ` N� -..-......4 <br /> MATERIALS <br /> ❑ COMBUSTIBLE LIQUID, N.O.S.,-NA1993,III,(USED OIL) CODE# <br /> ❑ NON 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 if DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER'S SIGNATURETRUCK# ` <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 044003556 <br /> I 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 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 SIGNATURE <br /> 24 H�our Eniergenlcy Response Team-- 1-•500-456-SPILL <br />