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mos Environmental Sers ces <br /> I . <br /> 1 1515 South River Rd. <br /> f <br /> I West Sacramento, CA 95961 <br /> (916) 371-5747 <br /> i CAD044003556 <br /> SERVICE ORDER SERVICE ORDER NO. ������ <br /> BILL OF LADING <br /> DATE t ��} ' 131 JOB NUMBER <br /> GENERATOR -' f Y C. L� �: ► . �.—.' f lV ' GENERATOR EPA# L, t?e`'-.`( C%S'.3 f <br /> j - <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT V 'C 4 ✓ CHECK NUMBER <br /> PHONE ") 1; ` 4 I P.O. NUMBER <br /> JOB SITE ADDRESS ` �� "�ti' E a °-" CASH RECEIVED (amt.) <br /> +_ fL. .J _1 HALIDES P.P.M. <br /> JOB DESCRIPTION ""�'^�� t° '4 " <br /> ` MATERIALS <br /> I <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# <br /> I <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# START TIME <br /> ❑ U.S. DOT DESCRIPTION: END TIME <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> Y ��. . � <br /> DRIVER'S SIGNATURE��•�" ---:"•--. ,t;_. +°�.. TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRCSNMENTAL 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 /> t <br /> I <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 /> 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 /> ,1 GENERATOR SIGNATURE <br /> 24 How FmPrnPnry RP.qnnn.qP TPainhi_Rfl(`i-=4�iFi-SPIT I <br />