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1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> J (916) 371-5747 <br /> V1) CAD044003556 <br /> r SERVICE � � <br /> SERME ORDER ORDER NO. 1 6 �1318 � <br /> MLL OF LAMNG <br /> DATE �3 Its JOB NUMBER / <br /> GENERATOR "` I I l( r�CC — GENERATOR EPA#�' GI' <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT PGS CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> yo <br /> JOB SITE ADDRESS 1CASH RECEIVED (amt.) <br /> HALIDES ��UC� P.P.M. <br /> JOB DESCRIPTION ,Cx7 fF <br /> MATERIALS <br /> 9NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# Z START TIME <br /> ARRIVE TIME 4'�� <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# <br /> LEAVE JOB /0 <br /> ❑ U.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# I USED OIL FILTERS DRUMS <br /> MANIFEST NO. U� - /"I��Yy— �1�©/J��C �` "W— NO. OF GALLONS ,3 <br /> DRIVER'S SIGNATURE e TRUCK# 13 <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 purposesof erlforCement of this obligation shall be Yolo County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> f <br /> X 'r <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800 456-7745 t 15 <br />