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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. <br /> BILL OF LADING <br /> DATE § ; JOB NUMBER <br /> GENERATOR t - _J; :{ <br /> t <br /> - GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) M <br /> GENERATOR CONTACT ) CHECK NUMBER <br /> PHONE -'i ,, .: _ i.. P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.)' <br /> q : t? =�; — _?I HALIDES P.P.M. <br /> JOB DESCRIPTION i .,'r. ! to~.' v"ar +I ' <br /> } <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# START TIME <br /> ARRIVE TIME %t <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# r <br /> LEAVE JOB <br /> 0 U.S. DOT DESCRIPTION: STOP TIME <br /> :<. . <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS f, DRUMS <br /> MANIFEST NO. 4 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: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. ��ii <br /> All used oil collected from the generator listed above will be transported only to a facility permitted by the State of.Califor`hia;o accept used oil. <br /> J <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 /> I GENERATOR SIGNA.UAE <br /> 24 Hour Emergency Response Team: 1 -8007456-7745 <br />