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Ra,`.os Environmental ServiC,..0i <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE g <br /> SERVICE ORDER ORDER NO. v 8 L <br /> I <br /> ,�5, —_ _ -- <br /> 'JOB NUMBER <br /> DATE { <br /> - GENERATOR <br /> �C- diL... 1 ��...��J�k"" �'= <br /> 1 I . .�8ENERATOGi�rPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT r 11� CHECK NUMBER _ <br /> K, <br /> i �( P.O. NUMBER .. <br /> PHONE ; <br /> ��� 1 t/ '��� \� 1"-1C CASH RECEIVED (amt.) <br /> JOB SITE ADDRESS (; F �'^� <br /> "1 ...,f (.I F- '..A�=) _)I �(_�-� HALIDES P.P.M. <br /> I r l T` <br /> JOB DESCRIPTION <br /> MATERIALS d <br /> J COMBUSTIBLE LIQUID, N.O.S., -NA1993,III,(USED OIL) CODE# <br /> NON RCRA HAZARDOUS WASTE. SOLID-LR?UID CODE#. START TIME <br /> END TIME <br /> U.S-.DOT DESCRIPTION: <br /> DRUMS <br /> (USED ANTI-FREEZE)N9.N RCRA HAZARDOUS WASTE LIQUID AIDE# UBED,OIL FILTERS " <br /> Fg <br /> r:Pi� > NO.OF GALLONS Goc <br /> � <br /> MANIFEST,NO. ., - - <br /> � TRUCK# <br /> DRIVER'S SIGNATURE3_1 <br /> - - - - <br /> DESIGNATED TSDR RAMOS ENVIRONMENTAL SERVICES. 15 5'S UTH 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 /> Genefator'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 generatorto send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Ramos'standardized permitted storage facility. <br /> Terms-net 15 days. <br /> After due date,a finance charge of 1.50%per month,16.00%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. g ,tn �f <br /> X <br /> �GTOR <br /> IGNATURE <br /> .',, r-Iuwo „ro T7rnornpn4-am RggnnnqA Team: 1-800-456-SPILL. <br />