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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. 169768 <br /> BILL OF LADING <br /> 1 <br /> DATE JOB NUMBER <br /> _ <br /> / ' G <br /> GENERATOR <br /> Tt;`- 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 /> - <br /> f-� f /��'� =� `1 { ' HALIDES 4 t P.P.M. <br /> JOB DESCRIPTILl <br /> �(y� <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ,1 ? ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# LEAVE JOB <br /> FIU.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. f1 t !� `� ` NO.OF GALLONS <br /> r� <br /> DRIVER'S SIGNATURE ; _ I 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 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 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 /> declare,under penalty of perjury that the foregoing is true and correct. <br /> i <br /> GENERATOR SIGNATURE <br /> n A U, a RAcnnnca Team' 1-800-456-7745 <br />