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c/Me E &CE <br /> amos Environmental Services <br /> I V E 1515 South River Rd . <br /> West Sacramento , CA 95691 <br /> AUG 9, 7 2021 (916) 371 -5747 <br /> CAD044003556 ` <br /> ENVIRONMENTAL HEALTH SERVICE <br /> nPPAATMENT SER !/ ICE ORDER <br /> ORDER NO, <br /> BILL OF LADING <br /> �f <br /> DATE .� C i `1 i_' r . . JOB NUMBER <br /> GENERATOR l ; 1 f \ ; ; !' ` 1 ! ' `` t r �- <br /> ; c ~ : GENERATOR EPA # 1 ( !' .J <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT �. CHECK NUMBERr / t <br /> PHONE P. O . NUMBER <br /> JOB SITE ADDRESS - ` - 1 I- ''- CASH RECEIVED <br /> (amt.) <br /> /t HALIDES tl P. P. M . <br /> JOB DESCRIPTION <br /> e': f ' A1C <br /> It <br /> MATERIALS r { r, t ,: �,. i i ! _1 i <br /> NON RCRA HAZARDOUS WASTE LIQUID, USED OIL CODE # _ ' f START TIME -- - <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB :' ! 2 <br /> U .S. DOT DESCRIPTION : <br /> STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS tr DRUD IVIiI _c <br /> MS <br /> MANIFEST NO . �� f _ - I i __f is NO. OF GALLONS <br /> DRIVER'S SIGNATURE ' ` - TRUCK # .4 r <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: 1 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 aftorney 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, r <br /> X All <br /> ••.. ' <br /> GENERATOR SIGNATURE 1 <br /> 24 Hour Emergency Response Team : 1 - 800 - 456 - 7745 <br />