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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 Q <br /> SERVICE ORDER ORDER NO. 16579® <br /> BILL OF LADING <br /> DATE i n JOB NUMBER �� <br /> GENERATOR GENERATOR EPA#C t <br /> t/`r✓t � t ^ <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT �cCS[�`�© CHECK NUMBER <br /> PHONE _ 1 P.O. NUMBER <br /> r I l CASH RECEIVED (amt.) <br /> JOB SITE ADDRESS jet J/ ,/ <br /> HALIDES �,G�CJC — P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> �y START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # C?`r--- ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE# LEAVE JOB - <br /> El U.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDODUS�WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. <br /> / .�k NO. OF GALLONS ' <br /> '�� TRUCK# <br /> DRIVER'S SIGNATURE <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> � M <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 /> 0A i_..Ir%i it GrnorrnAnrry RP.qnnnSe Team: 1 -800-456-7745 5 `' <br />