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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 ORDER NO. <br /> BILL OF LADING <br /> DATE 1 JOB NUMBER <br /> � � J J <br /> GENERATOR GENERATOR i GENERATOR EPA# <br /> BILLING ADDRESS `'•-� -� ) C�� <br /> l� AMOUNT(IF ANY) <br /> GENERATOR CONTACT �� r-+� ' CHECK NUMBER <br /> .,; <br /> PHONErs 5 ` 1 ( lJ <br /> _ P.O. NUMBER <br /> • <br /> JOB SITE ADDRESS -� � .!.! CASH RECEIVED (amt.) <br /> r <br /> r` HALIDES <br /> P.P..M. <br /> JOB DESCRIPTION rr44 <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# * START TIME <br /> F—] NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME <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 NO. � NO.OF GALLONS <br /> DRIVER'S SIGNATURE "� TRUCK# 7 _ <br /> ^ 00bNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> ,i�4'1`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:1 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 -600-456-7745 <br />