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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 /> SERVICE ORDER ORDER No. 167162 <br /> BILL OF LADING <br /> DATE - - - JOB NUMBER <br /> GENERATOR Gam- r ( GENERATOR EPA#� <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS r� CASH RECEIVED (amt.) <br /> G, rl '' 1 <br /> IJo� ex HALIDES < `OP•P•M• <br /> JOB DESCRIPTIO <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID;(USED OIL) CODE# 1 <br /> ARRIVE TIME <br /> 0 NON RCRA HAZARDOUS..WASTE. SOLID- LIQUID CODE# t <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: STOP TIME t v <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. ULo J N0.OF GALLONS <br /> { - <br /> DRIVER'S SIGNATURE _ TRUCK# <br /> '*'13EE MGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> „I:.0WEBY 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 CertiflcAm' I certify that I have a progralii.jn.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 doe'data,..a ffnance.,charge of per mo h,_18.00%annggl rate,wl ll.,be•charged on the unpaid balance.The customer agrees to pay reasonable <br /> costs and.attorney fees incurred ini the collection of this-obligation.Venue for purposes of enforcement of this obligation shallbe Yolo County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> X <br /> GENERATOR SIGNATURE <br /> �f <br /> 24 Hour Emergency Response Team: 1 00-456-7745 <br />