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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. 164141 <br /> BILL OF LADING <br /> .:,-'• } + ;. JOB NUMBER <br /> DATE GENERATOR EPA# J <br /> GENERATOR <br /> BILLING ADDRESS AMOUNT (IF ANY) <br /> CHECK NUMBER <br /> GENERATOR CONTACT P.O. NUMBER <br /> PHONE r (amt.) <br /> JOB <br /> CASH RECEIVED <br /> JOB SITE ADDRESS "t T t� HALIDES Z P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> START TIME <br /> E NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # LEAVE JOB <br /> El <br /> STOP TIME [ 3 C9 <br /> U.S. DOT DESCRIPTION: DRUMS <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS 2CJc,-! <br /> J S �� NO. OF GALLONS <br /> MANIFEST NO. C>1 — TRUCK# K <br /> DRIVER'S SIGNATURE <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> TH <br /> 100 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TdOTmark aLIDndS are E nE propeA condioionPfor <br /> This is to certify that the above named articles are properly classified, described, package , <br /> transportation, according to the applicable regulations of the Department of Transportation. ree I have determine <br /> Generator's Certification: I certify that I have a program in place <br /> t toreduce <br /> end all their hazardouthe volume and s xicity of wast t an aguthorezed hha ardousegwaste treatment facil d <br /> to be economically practicable. Ramos agrees with the generator <br /> via Ramos' standardized permitted storage facility. <br /> only to a facility permitted by the State of California to accept used oil. <br /> All used oil collected from the generator listed above will be transported <br /> Terms- net 15 days. on the <br /> After due date, a finance charge of 1.50% per hoof , 18.00% <br /> 8.b0ligatinnual rate, <br /> for purposes <br /> b eo es of enfo cementlofbthis obligation shall be Yolo Couunttyalance,The customer agrees to y. reasona <br /> costs and attorney fees incurred in the collection <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> � r,Gr.iEanTOR SIGNATURE �ss� <br />