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- Ramus Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, <br /> GA 95691 <br /> (916) 371 -5747 <br /> �. CAD044003556 <br /> SERVICE . <br /> ORDER No- 179076 <br /> SERVICE ORDER . <br /> SILL <br /> OF LADING <br /> JOB NUMBER <br /> LA <br /> DATE i GENERATOR EPA # <br /> ( S <br /> GENERATOR N <br /> BILLING ADDRESS Fes, s <br /> AMOUNT (IF ANY) <br /> CHECK NUMBER <br /> GENERATOR CONTACT P.O. NUMBER <br /> PHONE (amt.) <br /> CASH RECEIVED <br /> JOB SITE ADDRESS A,} ] P.P.M. <br /> 41 HALIDES <br /> JOB DESCRIPTION <br /> KAI <br /> MATERIALS <br /> START TIME <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # . t ARRIVE TIME <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # LEAVE JOB <br /> U.S. DOT DESCRIPTION: <br /> A � STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE'LIdUID' DE # USED OIL FILTERS DRUMS <br /> % "' i _ NO. OF GALLONS <br /> MANIFEST NO. <br /> DRIVER'S SIGNATUREXrt,(.x -' 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 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 reasonabl( <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 /> f <br /> X <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-774,5 <br />