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*nos Environmental Ser^s <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />INVOICE # <br />SERVICE <br />ORDER NO. 1150 61 <br />DATE 1'° - I c -i : — <br />JOB NUMBER <br />GENERATOR drrrirnt-P Air..EnginpprjnGENERATOREPA# CAL I -11Q 15' Sit <br />BILLING ADDRESS <br />AMOUNT (IF ANY) <br />GENERATOR CONTACT >f i %^n CHECK NUMBER <br />PHONE 209-334—(L40 P.O. NUMBER <br />JOB SITE ADDRESS 710 N. Sacramento C'« Lodi ncnit <br />CASH RECEIVED Jami) <br />HALIDES s ( P.P.M. <br />JOB DESCRIPTION <br />1 <br />4,s..._ LAi- <br />t� rIt ?�.y <br />(-7C I COMBUSTIBLE LIQUID, N.O.S., - NA1993, III, (USED OIL) CODE # i2 <br />i❑�' NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE* <br />MANIFEST NO.r- r t t` <_ f-J.L1, J� i 1 <br />DRIVER'S SIGNATURE 1- <br />START TIMEtj <br />END TIME - '9 ,_, <br />USED OIL FILTERS DRUMS <br />NO. OF GALLONS , r' ,A <br />TRUCK # <br />1 �z ::t <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD D44003556 <br />I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE L ESS 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 Naste Ireatrnent fa ly, <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 agreesto pay reasonable <br />costs and attorney fees incurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shag ba 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: 1-800-456-8pu i <br />