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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 oRu'ER NO. ` <br /> BILL 4I` 'LADING <br /> DATE ° JOB NUMBER <br /> Ta <br /> GENERATOR - TV GENERATOR EPA# :(,A('60 a 111 <br /> BILLING ADDRESS <br /> e' AMOUNT(IF ANY) <br /> GENERATOR CONTACT p CHECK NUMBER <br /> PHONE P.O NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> •� �: ( ^'`N HALIDES `Ct°tom P.P.NI. <br /> JOB DESCRIPTION� s U_ 1P C' -0 ° <br /> MATERIALS. <br /> ,:. START TIME 57 <br /> g] NON'RCRA HAZARDOUS WASTE LIQUID, (USED.OIL) CODE# <br /> ARRIVE TIME <br /> NO�,tR_CRA HAZARDOUS WASTE. SOLID- LIQUID CODE# <br /> LEAVE JOB <br /> E]vS`,';DOT DESCRIPTION:. STOP TIME d f`30 <br /> � ( ..E!(U ANTI-FREEZE)'NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> D <br /> MANfFEST NO. ��71® /7 �'�J �°S 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. <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 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 roil collected from the generator listed)above will be transported only to a facilitypermitted by the State of California to accept used oil.' <br /> Terms-net 15 days.. ` <br /> After.due:da#e,aifipance 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.thee 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 /> X <br /> - GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: �-800. 456-7745 <br />