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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 /> _ ZBERVIUCE OURER ORDER SIO. 16 6 2 3 6 <br /> BILL OF LADING <br /> DATE F ` I JOB NUMBER _ 1 <br /> GENERATOR GO GENERATOR EPA It <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR COONNT,AACTT CHECK NUMBER <br /> PHONE �.1d Lt ) ,l " "�` " P. O . NUMBER <br /> t <br /> JOB SITE ADDRESS CASH RECEIVED ) (amt.) <br /> HALIDES I f=h P. P. M . <br /> JOB. DESCRIPTION r <br /> MATERIALS <br /> "7 START TIME <br /> I� NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # G.� Z�_ <br /> ARRIVE TIME <br /> F] NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # LEAVE JOB �� d <br /> U .S. DOT DESCRIPTION : STOP TIME C� <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS �J DRUMS <br /> MANIFEST NO. Q 4 NO. OF GALLONS Z� <br /> DRIVER'S SIGNATURE TRUCK # Zlt <br /> t <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 /> 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 /> X <br /> GENERATOR SIGNATURE <br /> E 24 Hour Emergency Response Team : 1 - 800 - 456 - 7745 <br />