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West Sacramento, CA 95691 <br />(91 371-5747 <br />B CAD044003556 <br />?_SERVICE <br />SERVICE ORDER ORDER NO. 13621;7 <br />FEW pERMITISFERVICESLADINGBILL OF <br />DATE JOB NUMBER <br />GENERATOR r', GENERATOR EPA # s <br />BILLING ADDRESS <br />AMOUNT (IF ANY) <br />GENERATOR CONTACT "` CHECK NUMBER <br />PHONE = P.O. NUMBER <br />JOB SITE ADDRESS CASA RECEIVED (amt.) <br />HALIDES P.P.M. <br />JOB DESCRIPTION <br />MATERIALS <br />NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # <br />® NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # START TIME <br />U.S. DOT DESCRIPTION: END TIME <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br />MANIFEST NO. f NO. OF GALLONS <br />DRIVER'S SIGNATURE TRUCK # <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95651 CAD 044003555 <br />1 HEREBY CERTIFY THAT 1 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 1 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°l per month, 18.00% annual rate, will be charged on the unpaid balance. The customer agrees to pay reasonable <br />costs and attorney feesincurred in the collection of this obligation. Venue for purposes of enforcement of this obligation shall be Yolo County. <br />1 declare, ander penalty of perjury that the foregoing is true and correct. <br />GEN TOR SIG TURE <br />4 Hour Emergency Response - 1 -800 -456 -SPILL.. <br />