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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003.556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 168402 <br /> BILL OF LADING <br /> lx/�DATE e Y x/s r - C ,/ JOB NUMBER ,{ 77 � <br /> GENERATOR { ` 3 �CYC_K Cn � r GENERATOR EPA f /"� � <br /> BILLING ADDRESS � <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT { %� �`—' CHECK NUMBER <br /> PHONE ,) <br /> P.O. NUMBER <br /> JOB SITE ADDRESSr-~►���f CASH RECEIVED �.=_Y(amt.)` <br /> r\[ '� �i HALIDES S co P.P.M. <br /> JOB DESCRIPTION ! -- -- <br /> MATERIALS -- - -- <br /> � <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# START TIME �.. <br /> ARRIVE TIME - <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# LEAVE JOB .. <br /> EIU.S. DOT DESCRIPTION: -. <br /> STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# -- USED OIL FILTERS DRUMS <br /> MANIFEST NO. I '--�` NO.OF GALLONS <br /> DRIVER'S SIGNATURE _ TRUCK# <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/t1RE LESS-rHAN 1000 P.P.M. <br /> if � k• i <br /> This is to certify that the above named articles:'are properly classified, described, packaged, marked `11to-the <br /> 4rp"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 ate nd toxicity of wasgeneratdegree 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 /> . . <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 L .)- L� <br />