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`TAI I_ I <br /> os , Environmental Services <br /> AA <br /> - _ 1515 South River Rd . <br /> � West Sacramento , CA 95691 <br /> Ill e 7Ql[ (916) 371 -5747 <br /> CAD044003556 <br /> 1CE <br /> SERVICE ORDER ORDER NO. <br /> x . <br /> LADINGBILL OF <br /> DATE - JOB NUMBER <br /> GENERATOR :,. , AAA GENERATOR EPA <br /> BILLING ADDRESS > `" °. . F : <br /> - ' AMOUNT (IF ANY) <br /> GENERATOR CONTACT _ r = JV CHECK NUMBER <br /> PHONE ;_ f . _A;? P.O . NUMBER <br /> p`�--' � _ _ - <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES - i : :k- =?'-. ' P. P. M . <br /> JOB DESCRIPTION <br /> i <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # t START TIME <br /> ❑ , <br /> A V14 ARRIVE TIME <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> U . DOT DESCRIPTION : A <br /> ° '` <br /> El U , & STOP TIME- --- i <br /> ❑ (USED ANTI - FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO . t ° rY NO. OF GALLONS <br /> jA. <br />€I DRIVER 'S SIGNATUREArc >. _ _ A TRUCK # r; <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES 1515 SOUTH RIVER RD, WEST SACRAMENTO 95691 CAD 044003556 <br /> c <br /> s <br /> I <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 =onthe 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 /> I' GENERATOR SIGNATURE <br /> 24 Hour Emeraencv Response Tearhg 1 - 800 - 456 - 7745 <br />