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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. 163071 <br /> BILL OF LADING <br /> DATE 6, JOB NUMBER <br /> GENERATOR -L + GENERATOR EPA# ( + <br /> 167 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE 49 — _:i P.O. NUMBER <br /> JOB SITE ADDR 5 (L�_Nff __I�noricln CASH RECEIVED (amt') <br /> �L HALIDES -2_(QC2, _ P.P.M. <br /> JOB DESCRIPTIONCn-. + � o�� � � <br /> 1 <br /> MATERIALS <br /> �y-� <br /> ,L NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE' START TIME# Z <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# ARRIVE TIME 24S_ <br /> LEAVE JOB 9 t �; <br /> U.S. DOT DESCRIPTION: STOP TIME J '- <br /> r—] <br /> ❑ (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. 01.Z-`7 I,�-z 6,d k4- NO.OF GALLONS <br /> DRIVER'S SIGNATURE # I <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> l HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000 PRIM. <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 purpres of i�forcement of this obligation shall be Yclo County. <br /> I ; <br /> I declare,under penalty of perjury that the foregoing is true and correct. <br /> x <br /> GENERA? R SIGNATURE <br /> 24 Hour Emergency Response Tea :`1 -500-456-7745 "� '� <br />