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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 td ' <br /> (916) 371-5747 <br /> CAD044003556 MAY 2 0 2016 <br /> SERME-- <br /> SERVICE ORDER ORDER N0. " �► <br /> BILL OF LADING <br /> DATE -- - --- JOB NUMBER <br /> F / ) ^� <br /> GENERATOR__ r rf GENERATOR EPA ri r�( <br /> BILLING ADDRESSJJ <br /> AMOUNT(IF ANY) <br /> GENERATO'-0R CONTACT — CHECK NUMBER _ G _ <br /> PHONE ­ t i_ I P.O. NUMBER <br /> R � <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION 1"Ll 1L tl 3' t 1 d 3Q G,i� <br /> tl L + GAL 0.5-tD ©E1 tUR btL)I^ <br /> MATERIALS.._ <br /> a NON RCRA HAZARDOUS WASTE (QUID, (USFD OIL) CODE# .�� _ START TIME <br /> ARRIVE TIME Ly L) <br /> F] NON RCRA HAZARDOUS WASTE. SOLID LIQUID CODE# LEAVE JOB 4 5 <br /> U.S. DOT DESCRIPTION: .-- - <br /> STOP TIME -� J <br /> F (USED ANTI-FREEZE) NON RCRA AZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. >r~ JI jC 0/96`1 L�� � J JA -- NO. OF GALLONS <br /> DRIVER'S SIGNATURE _—__ <br /> TRUCK# %t� <br /> DESIGNATED TSDF: RAMOS ENVIRON ENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT IXED 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 na ed articles are properly classified, described, packaged, marked and are in proper condition for <br /> transportation, according to the applica le regulations of the Department of Transportation. <br /> Generator's Certification: I certify that I h ve 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 a Tees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility <br /> via Ramos' standardized permitted stora e facility. <br /> All used oil collected from the generator I sted 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 1.500per 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 c lection of this obligation.Venue for purposes of enforcement of this obligation shall be Yolo County. <br /> I declare,under penalty of perjury that th foregoing is true and correct. <br /> GENERATOR SIGNATURE <br /> 24 Hour Emer ency Response Team: 1 -800-456-7745 <br />