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f <br />imos Environmental Seross <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />µ <br />M <br />DATE <br />__GENERATOR L r,.ral Sir Eagjprjjip <br />BILLING ADDRESS <br />GENERATOR CONTACT <br />PHONE 209-334-414D <br />JOB SITE ADDRESS 71(1 N_ Rarrnmontn T.ndi 95741 <br />JOB DESCRIPTION <br />mn� crnnW <br />COMBY1S776LE:LIOUID,N.O.S:, NA1993,114QUSEDoILt CODE* - <br />NON ACRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />I� (USED ANTI -FREEZE) NON RCRA HAZARDOUS WTE LIQUID CODE # <br />MANIFErAT NO. <br />DRIVER'S SIGNATURE <br />DESIGNATED TSDF: RAMOS <br />INVOICE # <br />SERVICE <br />ORDER NO. 113867 <br />JOB NUMBER " <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />HALIDES <br />(amt.) <br />P.P.M. <br />START-t7ME.:. <br />END TIME <br />USED OIL FILTERS 4 h n c {.c DRUMS <br />NO. OF GALLONS <br />TRUCK # /d/ <br />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 T6TAL 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 />Genera'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 bfeconomically 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 />Atter due date, a finance charge of 1.50%"per month, 18;00% annual rate will be`.charged on the unpaid balance. The custooneragreas,to pay rd"onable -' <br />costs and attorney fees incortap in theaollection of this Obligation venue for purposes of enforcement of this obligation shall be Y000'Coypty. <br />I declare, under penalty of perjury that the foregoing is true and correct. AA <br />A <br />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1 -800 -456 -SPILL <br />