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I os Environmental Serves <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 INVOICE # <br />CAD044003556 <br />SERVICE <br />SERVICE ORDER ORDER NO. <br />BILL OF LADING <br />DATE !� .t�(.k',..'N N <br />GENERATOR Accurate Air Engineering <br />BILLING ADDRESS <br />GENERATOR CONTACT <br />PHONE 209-810-2073 <br />JOB SITE ADDRES5�0 �i. SaCraMentO St. Lodi 95241 <br />JOB DESCRIPTION <br />❑ COMBUSTIBLE LIQUID, N.O.S., - NA1993, III, (USED OIL) CODE#- <br />7 <br />XNON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />❑ (USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # <br />MANIFEST NO. <br />JOB NUMBER <br />GENERATOR EPA# CAL 000 161 632 <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED (amt.) <br />HALIDES 41 ,c r,, i, P.P.M. <br />START TIME C'% "t <br />END TIME C•'S �"� l,i <br />USED OIL FILTERS // rDRUMS <br />NO. OF GALLONS mak`.. i \) ,4 k <br />DRIVER'S SIGNATURE r-. ) TRUCK # k S,, ')II <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 RRM <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 />X <br />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1 -800 -456 -SPILL <br />