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Ramos Environmental Services <br /> 1515 South River Rd. <br /> /Vest Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERME ORDER ORDER NO. 179091 <br /> MLL OF LADING <br /> DATE JOB NUMBER <br /> U <br /> y1 <br /> GENERATORvt�Z/'CW GENERATOR EPA# 6 t <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT �"�—� � ' CHECK NUMBER <br /> PHONE ��` 2-21 4' -- P.O. NUMBER <br /> JOB SITE ADDRESS �' t Lr _ \ f�.C('' " <br /> CASH RECEIVED (amt.) <br /> C6 HALIDES 4D n +.,- P.P.M. <br /> JOB DESCRIPTION <br /> �J <br /> MATERIALS <br /> 13 <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ` START TIME C 0 <br /> F-1NONRCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME <br /> LEAVE JOB <br /> 0 U.S. DOT DESCRIPTION: STOP TIME C) <br /> -1= <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. -L r J NO.OF GALLONS C <br /> DRIVER'S SIGNATURE / TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 IGNATURE <br /> 24 Hour Emergency Response Team: 1 -500-456-7745 Z-Ci � ��, <br />