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* &_ <br /> Ramos Oil Rec clers Bill of Lading <br /> M)5 South River Road <br /> West Sacramento,CA 95691 No: 22-0010756 T7=KLUB <br /> Order Date: <br /> Phone:(916)371-5747 Fax:(916)371-9312 Taken b CANCKNER <br /> Cust PO# Terr/Map# Assigned Sales Cat. Cust.Code <br /> SAC HAZ ARCAM EPA ID# CAL000312652 <br /> Customer: ARCO AM/PM-WOODBRIDGE Start Date: <br /> 18805 LOWER SACRAMENTO End Date: <br /> WOODBRIDGE CA-95256 <br /> Contact: HAPPY <br /> Job Phone: <br /> Bill To: ARCAM <br /> Job Location: 18805 LOWER SACRAMENTO Bill Type: Bill of Lading <br /> WOODBRIDGE CA -95256 Estimated Hours: .00 <br /> P.O.# <br /> Sched For: 20220425 0800A <br /> S/C Type: HZDM <br /> Description: <br /> PAJ ID <br /> DEL UN 1 A2 55G DRUM � � �✓ 3�a <br /> CUST IS COD <br /> SEE TAG FOR PRICING <br /> M-F 6-1:30 <br /> Materials <br /> _HALIDES PPM START TIME: <br /> „Non RCRA HAZARDOUS WASTE LIQUID,(USED OIL)CODE# ARRIVE TIME: <br /> H <br /> _Non RCRA AZARDOIUS WASTE SOLID—LIQUID CODE# �l LEAVE JOB: <br /> STOP TIME: '642 <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS: <br /> MANIFEST NO. / J NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# 'G-e <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES.1515 S.RIVER Rd.WEST SACRAMENTO 95691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND 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 transportation,according <br /> 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 to be <br /> economically practicable.Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility via Ramos' <br /> 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 unpaid balances.The customer agrees to pay reasonable costs <br /> and attorney fees incurred in the collection of this obligation.Venue for purposes of enforcement of this obligation shall be Volo County. <br /> I declare,under penalty of perjury that the foregoing is true and correct. <br /> Generator Signature: <br />