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Ramos -nvironmental 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 \ 4 GENERATOR EPA# LAL00a q/ <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT SC CHECK NUMBER <br /> PHONE O , L P.O. NUMBER <br /> tzlJOB SITE ADDRE S r� cAon CASH RECEIVED (amt.) <br /> CAq HALIDES <br /> JOB DESCRIPTION f" G <br /> 1 <br /> q5 <br /> MATERIALS <br /> c <br /> F] NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # START TIME Zn� <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE# ARRIVE TIME <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: v� /�)) <br /> STOP TIME ` -2( <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID0DE# <br /> J f� USED OIL FILTERS DRUMS <br /> MANIFEST NO. r V "�j 1 J�✓/ r <br /> NO. OF GALLONS <br /> DRIVER'S SIGNATURE 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 /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> X <br /> GENERATOR SIGNATURE <br />