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1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CADO44003556 <br /> SfERRMCIE 70v�9.8 <br /> SE�uM ORDEF- ORDER dN9Oe � J <br /> ALL r- LADING <br /> JOB NUMBER <br /> DATEff @@ <br /> GENERATOR v1Z t Vim'` � ncv GENERATOR EPA#Cog rJ�l C <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT �/ U e'� CHECK NUMBER <br /> PHONE ., ✓ i � ,,2 P.O. NUMBER <br /> �CG"�,��� �,�►.v��,t ��1�'� � CASH RECEIVED (amt.) <br /> JOB SITE ADDRESS <br /> HALIDES i P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> START TIME <br /> K`ON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # L < <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# LEAVE JOB <br /> U.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS +� <br /> 1, r <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER'S SIGNATUREf <br /> � TRUCK# 2 <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 /> Al <br /> a <br /> 7 <br /> X <br /> ::W_ <br /> r� GENERATOR SIGNATURE <br /> Pr"�1p4't"1pa l�"R! R(L).�Jt nse ls�r�.am: 1--800-456-7745 <br />