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Rmos Environmental Servi eS <br />i 1515-Sbn* River Rd. <br />West Sacramento, CA 95961 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />DATE 0 01( J <br />GENERATOR Accurnte Air E-4ireeing <br />BILLING ADDRESS <br />GENERATOR CONTACT jeff <br />PHONE <br />209-334-4340 <br />SERVICE q �� <br />ORDER NO. 3 <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />JOB SITE ADDRESS 710 N. Sacramento St. Lodi :5241 CASH RECEIVED (amt.) <br />HALIDES P.P.M. <br />JOB DESCRIPTION t°J rte+ ✓�'-2 f <br />MATERIALS <br />❑ NON RCRA HAZARDOUS WASTE LIQUID, (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 '' i "`' DRUMS <br />MANIFEST NO. NO. OF GALLONS <br />DRIVER'S SIGNATURETRUCK # 161 <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 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 correct. <br />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1 -800 -456 -SPILL <br />