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Ramos Environmental Servs ces <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO.'I j J,­�jbO <br /> BILL OF LADING <br /> J <br /> DATE <br /> L OB NUMBER <br /> GENERATOR EPA 9" <br /> GENERATOR 14 716-11? �_ 4 <br /> BILLING 4- <br /> ADDRESS <br /> AMOUNT(IF ANY <br /> GENERATOR CONTACT CHECK NUMBER <br /> P.O. NUMBER <br /> PHONE . <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE# LEAVE JOB <br /> U.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO. OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK4 <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 PP.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 facll'Ity. <br /> All used oil collected tram 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'A per month, 18.001/6 annual rate,will be charged an the unpaid balance.The customer agrees to pay reasonable <br /> Lt 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 /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />