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1N3VVi8Vd3Ci <br /> Ramos Environmental Services Hllb'3H 1b'1N3WN081/1N3 { <br /> 1515 South River Rd . <br /> West Sacramento , CA 95691 01016 1 ,lli N <br /> (915) 371 -5747 <br /> CAD044003556 C13AI3038 <br /> $ERVICE <br /> SERVICE ORDER ORDER No. 17 6 9 5 9 <br /> BILL OF LADING <br /> DATE <br /> JOB NUME3ER <br /> GENERATOR L "^'-- " GENERATOR EPA # rlAt <br /> BILLING ADDRESS <br /> Yb...v <br /> AMOUNT (IP ANY) <br /> GENERATOEt CONTACT } CHECK NUMBER . G- � t 3:: <br /> ti"1 <br /> PHONE '- 0(4 n P.O. NUMBER ' <br /> JOB SITE ADDRESS <br /> CASH RECEIVED {amt:) <br /> !6zcyl F, 7 12 .HALIDES <br /> . � +. C`l P. P. M1A. <br /> J013 DESCRIPTi <br /> MATERIALS <br /> START TIME <br /> ON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # <br /> ARRIVE TIME .� <br /> ❑ NON ACRA HAZARDOUS WASTE. SOLID - L1OUID CODE # � <br /> ' LEAVE JOB <br /> U .S. DOT DESCRIPTION : STOP TIME <br /> (USED ANTI-FRE>EEZE) NON RCRA HAZARDOUS WASTE LIQUID? CODE #" USED OIL FILTERS DRUMS <br /> MANIFEST N0. ' ° � } NO* OF GALLONS <br /> DRIVER'S SIGNATUR TRUCK <br /> DESIGNATED TSDF; RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95651 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# 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 kvaste treatment facility <br /> via Ramos' standardized permitted storage facility. <br /> All used oil collected from the generatorlisted above will be transported only to a facility permitted by the State of Califirnia to accept used oil. <br /> Terms - net 15 days <br /> After due date, a finance charge of 1 .50% per month, 1 .8,00% 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 /> I declare, under penalty of penury that the foregoing is true and correct. <br /> 0ENERATOR SIGNATURE <br /> 24 HOW Emergency Response Team : 1 - 800 4 56 - 7745 � � � ' �,t . <br />