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_w Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE r <br /> SERVICE ORDER ORDER 1`10. 115689 <br /> BILL OF LADING <br /> DATE Ql-� c�' r 4 --- --- JOB NUMBER <br /> GENERATOR .t. " - - I' 4 ---- GENERATOR EPA li <br /> BILLING ADDRESS --- <br /> ___ AMOUNT(IF ANY) <br /> GENERATOR CONTACT M an _ ——__ __—_ CHECK NUMBER ... — <br /> PHONE t 'n--�p+1-7✓�Ott ___—___ ___ P.O. NUMBER — <br /> JOB SITE ADDRESS tilKi 119 P Vic*nr' ------ ------ CASH RECEIVED (amt) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION !� [/ <br /> MATERIALS -- <br /> ❑COMBUSTIBLE LIQUID,N.O.S.,-NA1993,III,(USED OIL) CODE 11 __— <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE#-- START TIME / Od <br /> U.S.DOT DESCRIPTION: —_ END TIME <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE a _— USED OIL FILTERS ? / 4fy -DRUMS <br /> MANIFEST NO. — NO.OF GALLONS <br /> DRIVER'S SIGNATURE r --- y - .._—. TRUCK N _ <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY 01 HER 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 procuce used o8 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 Yolo county. <br /> I declare,under penalty of perjury that the foregoing is true and correct <br /> X _ <br /> GENERATOR SIGNATURE <br /> 1.I rai.,v Cmi..-r.n.-.n.• 1].....-.'..nr� -1:.-., 1 ..rift ACR 00111 <br />