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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 ORDER SERVICE <br /> ORDER NO. 16 $9 <br /> BILL OF LADING <br /> DATE <br /> ! JOB NUMBER <br /> GENERATORt_,} <br /> ` GENERATOR EPA# rte✓ ( c. r� /Y% i / <br /> r <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE "r" t l'� ` %c ( ' P.O. NUMBER <br /> _ v <br /> JOB SITE ADDRESS l <br /> f CASHf RECEIVED <br /> (amt.) <br /> HALIDES X,f ,D C/ P.P.M. <br /> JOB DESCRIPTIONa- <br /> a <br /> i $ <br /> MATERIALS <br /> NON RCRA-HAZARDOUS WASTE LIQUID, (USED OIL) CODE# _ Z..I START TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME - =� <br /> U.S. DOT DESCRIPTION: LEAVE JOB <br /> STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# <br /> USED OIL FILTERS DRUMS <br /> MANIFEST NO. _.,. i ,." i` f:_..;, ...� 71-1 °i g� <br /> ,c NO.OF GALLONS I <br /> DRIVER'S SIGNATURE # ¢�" --y, .� TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691CAD 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 regulati6ns 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. fr <br /> X '' <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1-800-456-,7745 <br />