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�amos Environmental Sees <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 INVOICE # <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />... DATE _ �_ .� .` % C) <br />GENERATOR Accurate Air Eng;,-1eerin2 <br />BILLING ADDRESS <br />SERVICE A <br />ORDER NO. -E ^ t� <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />GENERATOR CONTACT. Jeff Little <br />CHECK NUMBER <br />PHONE 909-334-4440 P.O. NUMBER <br />JOB SITE ADDRESS 710 N. Sacratnent0 St. Lodi 95241 CASH RECEIVED . <br />(amt.) <br />HALIDES P.P.M. <br />JOB DESCRIPTION LZr.-,s�&r,1 S <br />MATERIALS <br />COMBUSTIBLE LIQUID, N.O.S., - NA1993, IIT, (USED OIL) CODE # <br />O NON RCRA HAZARDOUS WASTE. SOLID -LIQUID CODE # <br />"n". DOT DESCRIPTION: <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # <br />MANIFEST NO <br />START TIME �a <br />END TIME Y.'/J <br />USED OIL FILTERS 12 DRUMS <br />NO. OF GALLONS <br />A' <br />DRIVER'S SIGNATURE TRUCK # <br />--DESIGNA1'8DTSDF:RAMOS`ENVIRONMENTAt SERVICES:- 1515SOU6rHfkivE W.WE$TSACRAMENT095691-0AO044003556-- - <br />I HEREBY CERTIFY THAT 1 HAVE NOT MIXED THIS WASTE WITH ANY -OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.' <br />.f <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 />."Ref4ator'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 />u <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 />M, <br />z <br />' Terms - net 15 days. <br />After due date; a finance charge of 1.500/6 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 Y010 County. <br />I declare, under penalty of perjury that the foregoing is true and correct. <br />24 Hour Emergency Response <br />1-800-456-SPILLVm <br />