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RE os Environmental Servicf <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE UU <br /> SERVICE ORDER ORDER NO. —1 <br /> 13ILL0F LADING <br /> DATE <br /> -i- JOB NUMBER <br /> GENERATOR ,. GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> } ( ! P.O. NUMBER <br /> PHONE <br /> JOB SITE ADDRESS ' f CASH RECEIVED [ ) <br /> r.. <br /> ` HALIDES <br /> JOB DESCRIPTION <br /> MATERIALS <br /> - START TIME <br /> NON:RCRA HAZARDOUS WASTE UIO,(USED OIL) CODE# = <br /> ARRIVE TIME <br /> NON RpRA HAZARDOUS-WASTE::. $OGD-GQUID CODE# LEAVE JOB <br /> D U'�.DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE)NON RCRA RDOUS WASTE UQUID CODE# USED OIL FILTERS L DRUMS <br /> MANIFEST NO. : - ` ; 4 'T'=� 1 i —`. NQ.OF.GAI LONS77777777- <br /> TRUCK fl `' <br /> DRIVER'S SIGNATURE <br /> DESIGNATED TSDF:RAMOS ENVIRO MENTAL SERVtCE8 1515 SOUTH RIVER RD WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NO MIXED THIS WASTE WITH ANY OTHER WASTE ANDJHE TOT AR S AO <br /> described; ackaged;°mark and in1r per cofrdtgolx.8tor. <br /> This is to certify that the above named articles are properly classified. P <br /> transportation,according to the applicable regulations of the Department of Transportation. <br /> Generator's Certification:I certify that I ttave a program in place to reduce the volume and toxicity of waste generated t d e2determined <br /> to be economically practicable.Ramos agrees with the generator to send all their hazardous <br /> waste to an aut fh�o'rized rhazardous wtaste reatmertt facility <br /> via Ramos'standardized permitted st facility. E I v VI R O N M E <br /> N , <br /> Ai_ HEALTH:. <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by ttre.State of CMMIAG Ggpt oil. <br /> Terms-net 15 days. <br /> on the unpaid balance.The customer agrees to pay reasonable <br /> 18.00%annual rate,will be charged.99 P <br /> After due date,a finance charge of 1.50%per month, <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 /> 24 Hour.Emergency Response Ua(&. 1-800-456`7745 <br />