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Ramos Environmental Services <br /> 1515 South River Rd . <br /> West Sacramento , CA 95691 <br /> (916) 371 - 5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO . 15 5 <br /> LADINGBILL OF <br /> DATE �` a JOB NUMBER <br /> GENERATOR l l `` € t- GENERATOR EPA # €• I ✓ i` f jrd <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT + ' n .t . .' ` CHECK NUMBER <br /> PHONE P. O . NUMBER <br /> ( I S 9 <br /> JOB SITE ADDRESS , r f J :_. F L _. ', € ' i i. ' .k CASH RECEIVED (amt .) <br /> HALIDES " P. P. M . <br /> JOB DESCRIPTION <br /> # J <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID , (USED OIL) CODE # ;z START TIME T <br /> ARRIVE TIME { <br /> ❑ NON RCRA HAZARDOUS WASTE . SOLID - LIQUID CODE. # <br /> LEAVE JOB <br /> F U . S . DOT DESCRIPTION : <br /> STOP TIME 4 + <br /> ❑ (USED ANTI - FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO . ~' ; s `° NO . OF GALLONS <br /> r 'a <br /> DRIVER ' S SIGNATURE'' { } _ - =-.- c - TRUCK # "' <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 -] 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 /> 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 /> declare, under penalty of perjury that the foregoing is true and correct. <br /> 14 <br /> IV <br /> )( <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team : 1 - 800 - 45 & 7745 <br />