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r Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 (� <br /> SERVICE ORDER ORDEIR CE NO. 155257 <br /> BILL OF LADING <br /> DATE �l �' J ! % 6p• F _ JOB NUMBER ,w <br /> GENERATOR-�.�r OIQ4E"'r tT4��L'K lT4JiZ%+ f�'R°x-+.+ 7-Gir GENERATOR EPA#C.AL a✓ ��� <br /> BILLING ADDRESS meq, <br /> AMOUNT(IF ANY) / � <br /> GENERATOR CONTACT �k--^'d"'�'"" ' CHECK NUMBER F�—•moi'L'� '"a T r5 <br /> PHONE "�^'4y G�' }-� P.O. NUMBER <br /> JOB .. <br /> SITEADDRESS. tt r NW1 �•' ,, 5�y+Z.3 Y� ` CASH RECEIVED (amt.) <br /> HALIDES ;LJ (,..) P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> STARTTIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# <br /> ARRIVE TIME <br /> -, NON RCRA HAZARDOUS WASTE. SOLID.-LIQUID CODE# a� <br /> U.S. DOT DESCRIPTION: LEAVE JOB ? �� <br /> ��Jf STOP TIME rf�- <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS .%}'' DRUMS <br /> MANIFEST NO. -' s-i'. s-° ' �� -'n I ll`fit E N t ( ;{ f- i,` F_ '.;C.+ :"'a(�O.OF GALLONS a1 •% i_ <br /> DRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 /> r, <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 df-1.50%per month, 18.00% annual rate,wAbe 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 />