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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 ORDERNOs176078 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> e GENERATOR GENERATOR EPA # <br /> W <br /> BILLING ADDRESS > t i <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT \• f" ` �y`� CHECK NUMBER _ <br /> PHONE i t� - � 3 — �) `. 1 <br /> - _ P.O . NUMBER <br /> C ( r <br /> t . JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES E L t._t ' e; P. P. M . <br /> JOB DESCRIPTION <br /> Q <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # n. ( START TIME <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> U .S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NONO. OF GALLONS <br /> a + <br /> DRIVER'S SIGNATURE k.f L ' 4 TRUCK # <br /> a <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD, WEST SACRAMENTO 95691 CAD 044003556 <br /> j <br /> 9 <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 /> p 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 <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 - 45 & 7745 <br />