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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 C <br /> SERVICE ORDER ORDER NO. 162833 <br /> BILL OF LADING <br /> DATE ( JOB NUMBER C� <br /> GENERATOR - l� � ' GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR C NTA�T ����� -�� CHECK NUMBER <br /> PHONE y r P.O. NUMBER <br /> JOB SITE AD/DRESS CASH RECEIVED (amt.) <br /> i V `HALIDES '�� � P.P.M. <br /> JOB DESCRIPTION 4 <br /> MATERIALS <br /> � <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# START TIME 7` Y <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# L .0 <br /> LEAVE JOB L Cr U.S. DOT DESCRIPTION: STOP TIME w <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. ��7� ,AHL[< JJ� NO,OF GALLONS <br /> DRIVER'S SIGNATURE 6,12 TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <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 ail 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 1.509/o 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 Yola County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> GENERATOR SIGNATURE <br /> 24 Flour Emergency Response Team: 1 -800-456-7745 d-5, 73 <br />