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0mos Environmental Serres <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />DATE k l - - t': -t': rj <br />GENERATOR. Accurate Air L-,, <br />BILLING <br />BILLING ADDRESS <br />GENERATOR CONTACT A )ce <br />PHONE 209-334-4340 <br />JOB SITE ADDRESS711'i N. Sacramento St Lodi 95241 <br />JOB DESCRIPTION <br />INVOICE # <br />SERVICE <br />ORDER N0. 112372 <br />JOB NUMBER <br />GENERATOR EPA9'CAL '-I00 <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED (amt) <br />HALIDES c 1 <br />P.P.M. <br />r <br />�M�A^TERIALS <br />IX I COMBUSTIBLE LIIQUID, N.O.S., - NA1993, III, (USED OIL) CODE A k <br />1�'❑'�' NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE #. <br />STARTTIME <br />11 U.S. DOT DESCRIPTION: <br />END TIME <br />EI(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE p <br />MANIFEST NO. <.'-( �.l( r. t 1 z USED OIL FILTERS DRUMS <br />DRIVER'S SIGNATURE 1-� ; 7 NO. OF GALLONS <br />TRUCK t <br />DESIGNATED TSDF: RAM09 ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br />1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL 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 />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 YOIo County. <br />I declare, under penalty Of perjury that the foregoing is true and correct. <br />X <br />GENERg70R aIGNANRE <br />24 Hour Emergency Response Team: 1-800-4.r;R-.qpn s <br />