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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SE pE'CE <br /> R NO. �. <br /> SERVICE ORDER oR <br /> 79076 <br /> BILL OF LADING <br /> LA "� '� JOB NUMBER <br /> DATE 4.• GEN ERAT <br /> OR EPA # <br /> GENERATOR <br /> BILLING ADDRESS AMOUNT (IF ANY) <br /> CHECK NUMBER <br /> GENERATOR CONTACT PO NUMBER <br /> PHONE <br /> J CASH RECEIVED <br /> JOB SITE ADDRESS <br /> ;� {�..w�. (amt.) <br /> HALIDES ;..} ' P.P.M. <br /> T <br /> JOB DESCRIPTION, yy . <br /> sl 11--t. '� Y.-- ,'_`� tial' `• :,,._ _ �'••� .,� ii-�� ' � <br /> IL <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # ARRIVE TIME *� <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> ❑ <br /> 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 N0. NO, OF GALLONS <br /> L TRUCK# <br /> L. �� <br /> DRIVER'S SIGNATURE <br /> _ . a <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 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, will be ch <br /> After due date, a finance charge of 1.50% er month 18.00% annual rate, arged on the <br /> costs and attorney fees incurred in the collection of this obligation.Venue for purposes of enforce unpaid balance. The customer agrees to pay reasonable <br /> ment of this obligation shall be Yolo County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> x _ <br /> 24 Hour c Resp°nse Team, 7 ,g�01 GENERATOR SI ATURE <br /> Emergency 456.7745 <br />