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Rafts Environmental Servic <br /> 1515 South River Rd. <br /> - West Sacramento, CA 95691 MAY 3 2016 <br /> (916) 371-5747 <br /> Pr <br /> CAD044003556 - <br /> SERVICE <br /> SERVICE ORDER ORDER No. 156213 <br /> ILL OF LADING <br /> DATE " JOB NUMBER e <br /> GENERATOR 4�� � 1 <_.�C��`.� _ - GENERATOR EPA#CA I M �����t <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT `-%�i°`.`< J n <br /> CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE AD DRE S3t:. r CASH RECEIVED (amt.) <br /> " C HALIDES g 'J : a P.P.M. <br /> JOB DESCRIPTION <br /> € f ` _. <br /> _ gy <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# t START TIME <br /> 'J ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# <br /> LEAVE JOB <br /> EIU.S. DOT DESCRIPTION: STOP TIME— <br /> F—] <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. -f r NO.OF GALLONS <br /> s <br /> DRIVER'S SIGNATURE " TRUCK# l <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 /> X <br /> GENERATOR SIGNATURE - <br /> 24 Hour Emergency Response Team. 1-800-456-7745 <br />