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j emos Environmental Ser*es <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CADO44003556 <br /> SERVICE ORDER SERVICE ORDER ORDER NO. .1.,A t 1 6 <br /> BILL OF LADING <br /> DATE <br /> JOB NUMBER <br /> GENERATOR t (' �- ' f �"-`'! -� GENERATOR EPA # � <br /> BILLING ADDRESS <br /> j ---- __ AMOUNT(IF ANY) _ <br /> GENERATOR CONTACT t �i�_ CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS j 11 j 2 f € ( I CASH RECEIVED (amt. <br /> HALIDES ;: p p M <br /> JOB DESCRIPTION <br /> MATERIALS <br /> INON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# -' • START TIME .'s <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # ARRIVE TIME % A <br /> __ L.. <br /> U.S. DOT DESCRIPTION: LEAVE JOB LA}} � 4 <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # �1 t STOP TIME `. � 4 <br /> MANIFEST NO. ,`r y-7'�,>"� i rest g;. `'' � ..' USED OIL FILTERS DRUMS <br /> - 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 accept used 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 corre <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />