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Ramos Environmental Services <br /> 1-515 South River Rd . <br /> West Sacramento , CA 95691 <br /> (916) 371 -5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. <br /> FLADING - <br /> BILL <br /> DATE ¢a JOB NUMBER <br /> GENERATOR L : : ;.. , ,. . iti: . t�tti , • � ;�, . , I' . _.;;� . � .. . ,. GENERATOR EPA # -- - ' ;• <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT ; t CHECK NUMBER <br /> Pt :'� i RQ, ` NUMBER <br /> HONE <br /> JOB SITE ADDRESS �` ' y i+� z - " � =- '' CASH_RECEIVED <br /> 7 <br /> f:, ( �,.- � .,.� ..t. I , X. :- % HALIDES 4 C, P. P. M . <br /> JOB DESCRIPTION 4 <br /> n .k e ,&A <br /> L } .. <br /> MATERIALS <br /> STARTTIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # y. <br /> i ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE., SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> F U . S. DOT DESCRIPTION : - STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS — DRUMS <br /> LaA <br /> MANIFEST NO. <br /> g "1; Co - 3 6 * . NO. OF GALLONS <br /> (•: .tet• � � � � � <br /> DRIVER' S SIGNATURE Al a '� ° 73 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'1711ASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P. P. M . <br /> This is 14 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 Departrr-4pt of Transportation :- , <br /> y - <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 /> 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 /> F)sts 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 /> r GENERATOR SIGNATURE <br /> 24 Hour Emergency Response :Team : 1 800 - 456 - 7745 <br />