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FROM <br />Ili r <br />FAX NO. :12093690153 A1. 22 2088 04:06PM P2 <br />fan14S Environmental Services <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 — <br />aFNERATOR C►/lJ 1.. �'�1 <br />:•:: BILLING ADDRESS <br />GENERATOR CONTACT'y�1� <br />PHONE <br />JOB SITE ADDRESS - <br />4 r" C .. <br />INVOICE <br />SERVICE <br />ORDER N0. 10963 4 <br />JOB NUMBER <br />GENERATOR EPA #f �A�• r;9ia ��'��` % % <br />Iq <br />AMOUNT (IF ANY) ` <br />CHECK NUMBER <br />P.O. NUMBFR <br />aC <br />RECEIVED <br />4 — <br />HALIDES �..-� P p•M <br />DESCRIPTION <br />JOB T. <br />�1r-�r6• � <br />MATERIALS <br />COM`t3USTIBLE LIQUID, N.O.S., - NA1993, til, (USED Olt) CODE # __._ <br />NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE_ # —.. --. START TIME <br />END TIME <br />�Z ?� <br />�U'.S. DOT DESCRIPTION: <br />L (USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LICLJID CODE tt __ USED OIL FILTERS __ DRUMS <br />MANIFEST NO. f� r� f!? /�r Z-) �'JS�....._ NO. OF GALLONS <br />DRIVER'S SIGNATURE — �. TRUCK #-- <br />DESIGNATED TSDF; RAMOS ENVIR6NMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 05691 CAD 041003556 <br />I HEREBY CERTIFY THAT' HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE I_ESS THAN 1000 P.P.M. <br />this is to certify that the above named articles are properly classifled, described, packaged, marked and are in proper condition for <br />trarlaportatlon, according to the applicable regulations of the Department of Transportatlon. <br />Generator's Certification, I certlfy that I have a program in place to reduce the volume and toxlcity of waste generated to the degree I have determinod <br />16 be economically practicable. Ramos agrees with the generator to send all their hazardoLls waste to an authorized hazardous wast® treatment facility <br />via Ramos' standardized permitted storage facility. <br />All used oll 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 />Urms'- net 16 days. <br />After due date, a finance charge of 1.509'= per month, 18.0096 annual rate, will be charged on the unpaid balance, The customer agrees to pay reasonable <br />posts and attorney fees incurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shall be Y010 County. <br />I declare, under penalty of perjury that the foregoing is true and correot- <br />RATOR SIGNATURE <br />'„�...- ••--,'•-'' GENE <br />OA Wrnl lir Pm ��_�.�..,.,•,_.._.._. <br />�arnpnr:v RP._SL�OilS® T�Q171: 1 -800 -456 -SPILL <br />