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.7C1'f-V.Ifrfi: VRVCn_.. utsutliMu. �..<..., �,.... r <br />BILLF-lADiNG <br />DATE <br />GENERATOR Accurate Air Engineering <br />BILLING ADDRESS <br />,_GENERATOR CONTACT <br />PHONE 21 <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />JOB SITE ADDRESS 710 N. Sacramento Rt. Lodi 95241 CASH RECEIVED (amt.) <br />ul . <br />JOB DESCRIPTION <br />x MAT�RIA4S <br />s• <br />VaF <br />F COMBUSTIBLE LIQUID,*N.OS., - NA1993, 111 (USED OIL) CODE R ' <br />''F] NNOVCRA HAZARDOUS WASTE. SOLID -LIQUID CODE # _ <br />n U.S. DOT DESCRIPTION: <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID <br />MANIFEST NO. <br />CODE# <br />NO. OF GALLONS <br />DRIVER'S SIGNATURE TRUCK # <br />.. - '. <br />""_'_""' bESl'GNATEfl TSDF:fIARONAAMAL 99EmAOt'Sn5u:< SE1t3--RrvER-RD =WESfiS'ACRAMENTO, 95691 .. GAD-04d9D365&.:x.._...'rt-;,r..:'_ <br />1 HEREBY CERTIFYTHAT 1 HAV NOT MIXED THIS WASTE WITH ANY OTHER WASTE AND THE TOTAL HALIDES ARE LESS THAN 10.00J?P.M. - <br />This is to certify that the aboJe named articles are property classified, described, packaged. marked and are in proper condition for <br />transportation, according to the applicable regulations of the Department of Transpottaticii <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 Womically practicable. Ramos agrees with the generator to send alt'their hazardous waste to an authorized hazardous waste treatment facility <br />vi am os'standardized permitted storage facility. <br />i� <br />All usedoil'collecied-isom the generator listed above will be fransported poly todity permitted: by the State of. CCalifornia to produce <br />recycled oil,used oil Into <br />a a tac, <br />.:Tetrna.pet ll5 days. <br />' Y. <br />^"°•AttePdue date, a finance charge of 1.50% per ibontfi; 18.Ob*4 anneal rate, Wil64e charged do the unpaid balance. The customer an eesYq pay reasonable <br />costs, and attorney fees incurred in the collection ofthis obligation. Venue for purpos@s of anf9fcemant of this obligation shall be Yol4 County.. r <br />P.P.M. <br />USED OIL FILTERS - DRUMS <br />I declare, under penalty of perjury that the foregoing is true and correct. <br />X <br />2 Fiotir �s�r�encv Response Ti <br />Lc� <br />