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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 <br /> SERVICE ORDER ORDERNO, 168562 <br /> ALL OF LADING <br /> DATE _ JOB NUMBER <br /> GENERATORCxJ c r Cl vv� GENERATOR EPA # 4� C�c6 rJ � <br /> BILLING ADDRESS ���...111 <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT a CHECK NUMBER <br /> PHONE C� = P.O . NUMBER <br /> i <br /> JOB SITE ADDRESS r \ t CASH RECEIVED (amt .) <br /> HALIDES G,) ia c ) P. P. M . <br /> JOB DESCRIPTION n + � � • �' '' / �} <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # 2`l( <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # ARRIVE TIME <br /> LEAVE JOB / l <br /> U .S . DOT DESCRIPTION : <br /> STOP TIME 9 • ' <br /> (USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO . r N0 . OF GALLONS <1 ? <br /> DRIVER ' S SIGNATURE y- �y -7__� �. 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 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. <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team : 1 800 - 456 - 7745 <br />