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Ramos Environmental Services <br /> 1515 South River Rd . <br /> RECEIVED West Sacramento , CA 95691 <br /> (916) 371 -5747 <br /> AUG 2 7 2021 CAD044003556 <br /> SERVICE <br /> ENVIRONMENTAL HEALTH SERVICE ORDER ORDERNO. 272506 <br /> DEPARTMENT BILL O F LADING <br /> DATE , n JOB NUMBER <br /> GENERATOR \` \ vim-- \ C' GENERATOR EPA # CALM <br /> BILLING ADDRESS 00 <br /> AMOUNT (IF ANY)• e 0 : <br /> GENERATOR CONTACT C CHECK NUMBER �3 <br /> PHONE kin P.O . NUMBER <br /> JOB SITE ADDRESS E r��" < CASH RECEIVED (amt.) <br /> 1 ,C CA P5 q �J HALIDES <br /> ,,g�(ZGdo P. P. M . <br /> JOB DESCRIPTION lZo <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # :2 <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # LEAVE JOB <br /> ED U. S. DOT DESCRIPTION : STOP TIMES <br /> (USED ANTI- FREEZE) NON RCRA HAZARDOUSWASTELIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO. yt NO. OF GALLONS n L CTS!�— <br /> DRIVER 'S SIGNATURE TRUCK # <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> I 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 SIGNATURE <br /> 24 Hour Emergency Response Team : 1 - 800 -45 & 7745 J �- <br />