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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. I a3T�33,9 <br /> BILL OF LADING <br /> DATE "._4`�' JOB NUMBER <br /> GENERATOR n(",'l_ C, I` t�_ }` � �;�✓i/'{ t ..,�� i y.) {^ J r t r .. �� L � <br /> �i GENERATOR EPA# r. L" / ? <br /> BILLING ADDRESS J <br /> AMOUNT(IF ANY) r - <br /> GENERATOR CONTACT C4 f i ^ . ./ <br /> CHECK NUMBER A / tr <br /> PHONE - I t j3 t r ) ­_(� P.O. NUMBER <br /> JOB SITE ADDRESS �`: -� ti- t_. `ti -1 '7_� CASH RECEIVED (amt.) <br /> �_✓� t���( %'%I '�� �{ �� �-�'�r�� HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> YI <br /> MATERIALS <br /> ' START TIME -} "� C) <br /> NON RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# <br /> -] NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# V ARRIVE TIME <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME .f r <br /> 0 (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERSt. DRUMS <br /> MANIFEST NO. - J. y NO.OF GALLONS <br /> DRIVER'S SIGNATURE 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:1 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 Sfate of California,ta/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 /> I declare,under penalty of perjury that the foregoing is true and correct. <br /> Ate, <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 17800-456-7745 21 3 15�-tom <br />