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Ramos Environmental Services <br /> i 1515 South River Rd . <br /> West Sacramento , CA 95691 <br /> (916) 371 -5747 <br /> CAD044003556 <br /> t E' t` 3 P , <br /> t� � V113 1 x I � ��1 a ,, a I $ SERVICE <br /> SERVICE ORDER ORDER NO. <br /> 178650 <br /> ILL OF LADING <br /> DATES , L JOB NUMBER <br /> GENERATOR GENERATOR EPA # %t lez:oyt, t i <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT L� CHECK NUMBER <br /> PHONE I✓ G 3 ( le 4 P.O . NUMBER <br /> JOB SITE ADDRESS i� V G �} i '� l EM. iok' \ � CASH RECEIVED (amt.) <br /> � G/bci^� 5HALIDES � � C� P. P. M . <br /> JOB DESCRIPTION <br /> t s i1. 1A ' <br /> MATERIALS <br /> gON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # -� �1 START TIMELi <br /> NON RCRA HAZARDOUS WASTE. SOLI - QDID CODE # ARRIVE TIME <br /> LEAVE JOB <br /> U .S. DOT DESCRIPTION : STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # <br /> USED OIL FILTERS DRUMS <br /> E MANIFEST NO e r d LN NO. OF GALLONS <br /> DRIVER'S SIGNATUX"E 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 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 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 /> 800 -456 - 7745 <br /> 24 Hour Emergency Response Team : 1 - �' � 3 <br />