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i � Kamos Environmental Services <br /> 1 1A <br /> 1515 South River Rd . 4 - <br /> West Sacramento , CA 95691 . <br /> (916) 371 -5747 <br /> CAD044003556TAd 111hr I <br /> � <br /> SERVICE ® R ® ER ORD r;R, pAO. <br /> LADINGBILL OF <br /> DATE e JOB NUMBER <br /> GENERATOR �_ � Y� G202 MA GENERATOR EPA # kl�(�[ <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT AC&M CHECK NUMBER jj'�� <br /> PHONE P.O . NUMBER D!; <br /> JOB SITE ADDRE S CASH RECEIVED (amt.) <br /> L ` HALIDES C az 19M . <br /> JOB DESCRIPTION �~ <br /> MATERIALS <br /> N RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # Jet / START TIME � ^ �^ <br /> F1 NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # ARRIVE TIME <br /> LEAVE JOB <br /> 0 U .S . DOT DESCRIPTION : n <br /> STOP TIME500O � '— <br /> (USED ANTI- FREEZE) NON RCRA/HAZARDOUS WASTE LIQUID CODE # _ USED OIL FILTERS DRUMS <br /> MANIFEST NO . _ /� �J� el/ 44 >w �� NO. OF GALLONS s , <br /> DRIVER ' S SIGNATURE TRUCK # lG/ <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 ARE LESS THAN 1000 P. P. M. <br /> i <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 /> i <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 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 /> GENE T SIGNATURE <br /> 24 Hour Emergency Response IT m : 1 - 800 - 456 - 7745 �5 �; <br />