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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 ORDER SERVICE <br /> oRDER NO. 1 77216 <br /> BILL OF LADING <br /> DATE -- --� _ <br /> GENERATOR 44 JOB NUMBER <br /> '��� �.�-- GENERATOR EFA# <br /> BILLING ADDRESS Ln2L:5��177 <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT— ��l - CHECK NUMBER <br /> PHONE + --f <br /> P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED <br /> (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> d . <br /> MATERIALS <br /> M NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# START TIME <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME <br /> U.S. DOT DESCRIPTION: LEAVE J013 <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE STOP TIME <br /> MANIFEST NO. USED OIL FILTERS DRUMS <br /> .71 NO,OF GALLONS <br /> DRIVER'S SIGNATURE 1 f i" -=' r. <br /> TRUCK# <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICE=S. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 644[)03556 <br /> 1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000 PPM. <br /> This is to Certify that the above named articles are Properly classified, described, <br /> transportation, accordingto the applicable marked and are in proper condltior for <br /> Pp 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 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 fad lity <br /> via Ramos'standardized permitted storage facility. <br /> AN used oil collected from the generator fisted above will be transported only to a faculty permitted by the State of California to accept used oil. <br /> Terms-net 15 days. <br /> After due slate,a finance charge of 1.50%Per month, 18.00%annual rater will beatrged unpaid balarxm.The Customer A reds to <br /> costs and attorney fees incurred in the collection of this obi d� g Pay reasonabletgafiot}.Venue iocpurposes of erlk3rCgtment of this obligation shah be Ydo county. <br /> I declare,under penalty of perjury that the foregoing is true and correct. <br /> X <br /> GE'E TOR SIGNATURE <br /> 24 Hnijr FmPMAnr-v Racr%r nag% -rodrv%- i . Onn Arie -Y7.C* <br />