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a_4 Ramos Environmental Services <br /> 1515 South River Rd. <br /> West:Sacramento, GA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER No. 166841 <br /> B I L L'bf. LAD'IN0 <br /> DATE / JOB NUMBER <br /> I <br /> GENERATOR GENERATOR EPA# LJ L <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O_ NUMBER <br /> JOB SITE ADDRESS a CASH RECEIVED <br /> CA q HALIDES s P.P..Ml ' <br /> JOB DESCRIPTION A r <br /> f G+ e C L <br /> rcol <br /> MATERIALS <br /> j START TIME <br /> NON BORA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# �+� <br /> �J ARRIVE TIME <br /> ON RCRA_HAZARDOUS WASTE. SOLID- LIQUID CODE# <br /> U.S. DOT DESCRIPTION: LEAVE JOB 16" <br /> 7 � STOP TIME. <br /> (USED ANTI-FR,EEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# <br /> MANIFEST NO. 1 � (a Ia/ � r� �[ USED OIL FILTERS DRUMSNO. OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# <br /> - z <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 04400d�5Fi <br /> I HtREBY 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,th&,4bove 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 wlth 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 facfiit'..permitted by the State of Callforn%to accept used oll. <br /> 4 <br /> erms-net 15.days. <br /> After due date,a finance charge of 1.50% per rnonth, 18.0011/6 annual rate,will be charged on the unpaid balance.The customer ageees.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 /> GENERATOR SIGNATURE <br /> 24 Hour Emer e`nc Res onse Team: 1 -800-456-7745 <br /> 9 Y,, P <br />