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a Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE y S�{�p <br /> SERVICE ORDER ORDER NO. 15 8® <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> f <br /> GENERATOR (% ` { t - f * GENERATOR EPA# C A 1- 7 -1!1 '•�Y'W <br /> BILLING ADDRESS �[ <br /> AMOUNT(IF ANY) ? 1z <br /> GENERATOR CONTACT ^7 CHECK NUMBER <br /> PHONE 3.0 el •i f"1 is I- 7 1 0'- P.O. NUMBER <br /> JOB SITE ADDRESS v '-3 f� (- ' i,rL-y - 5 u✓ CASH RECEIVED t (amt.) <br /> .✓ I Zi r. iv � ,i, _ :i tis .l 1 • HALIDES < 3.c.:c... P.P.M. <br /> JOB DESCRIPTION t u M^ " ; <br /> U 4 L �µi i.e_ C.:'. (�4 Q E,J <br /> -,iz- LAKE i k k.e SED L.t t_ 7,t_`t Lk. i� xA t� 1 !� .- i f ,, <br /> MATERIALS <br /> NON RCRA HAZARDOUS.WASTE LIQUID,(USED OIL) CODE# 1 STARTTIME \ <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLI[.LIQUID CODE# r^. \75 <br /> LEAVE JOB <br /> U.S.DOT DESCRIPTION: STOP nMF <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# <br /> t ... USED OIL FILTERS DRUMS <br /> MANIFEST NO. ' ». fLr .y Y. .) (� �e.aT,^5:.�1 ..> 7c._ 7. :y1 <br /> I&f NO.OF GALLONS ��+�.- ^ <br /> DRIVER'S SIGNATURE.jr # Ia� a'f ui TRUCK# \ L( <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 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 accept used oil. <br /> Terns-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 /> ' O 1OR 9KINANRE 4 <br /> 24 Hour Emergency Response Team: 1-800-456-7745 , <br />