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Ramos Environmental Services <br /> 11515 South giver Rd . <br /> West Sacramento , CA 95691 <br /> (916) 371 -5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER NO, <br /> ALL OF LADING <br /> DATE ----- JOB NUMBER <br /> GENERATOR ' ' " GENERATOR EPA # - <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT - CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS ` CASH RECEIVED (amt.) <br /> HALIDES P. P. M . <br /> JOB DESCRIPTION <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE If START TIME <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO. OF GALLONS - <br /> DRIVER'S SIGNATURE TRUCK # <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL 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 1 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 /> 1 declare, under penalty of perjury that the foregoing is true and correct. <br /> X <br /> GENERATOR SIGNATURE <br /> 24 Flour Emergency Response Team : 1 - 800 -456 - 7745 <br />