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4we' = Ramos Oil Recyclers _ Bill of Lading <br /> -, <br /> erRoad <br /> to,CA 95691No: 21-0005205 <br /> Order Date: &-I- <br /> Phone:(916)371-5747 Fax:.(916)371-9312 Taken bv' SFLOYD <br /> Cust PO# Terr/Mao# Assiened a1 Cat use Code <br /> SAC HAz 10480 EPA ID# CAL000393959 <br /> Customer: AMERICAN RIVER AGGREGATES Start Date: <br /> P.O.BOX 4452 End Date: <br /> ELDORADO HILLS CA 95762 <br /> Contact: JOE <br /> Job Phone: 209-430-2033 <br /> Bill To: 10480 <br /> Job Location: 510 GILMORE AVE STE C Bill Type: Bill of Lading <br /> STOCKTON CA 95203 Estimated Hours: .00 <br /> P.O.# <br /> Sched For: 210525(oM800A00 <br /> —.- - -.-. -- -- S/C T e: UO <br /> Description <br /> a; <br /> PO UO�l L,p /Xfit fi*'rs.Oe.I.i t,Cd /XSS [.t5-eCf 0; <br /> PU l*55 UOF T R(l) 1 <br /> PU 1*55 OS.DEL 1*55 1A2" � <br /> KEL 5/31/21 MON / <br /> Materials: <br /> HALIDES <1L23� _ _PPM START TIME: 9-•y.S <br /> on RCRA HAZARDOUS WASTE LIQUID,(USED OIL)CODE# Z7 I_ _ ---ARRIVE TIME: /G:Yf' <br /> _Non RCRA HAZARDOIUS WASTE SOLID-LIQUID CODE# _LEAVE JOB: I '. <br /> STOP TIME: /Z <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# _ USED OIL FILTERS: <br /> MANIFEST NO. b22i3 UJ ' `SU Z 7�CC_ NO.OF GALLONS Z00 <br /> DRIVER'S SIGNATURE C/ TRUCK# 'L2 d <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 plate 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 OR <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 Yolo County. <br /> I declare,under penalty of perjury that the foregoing is tri and correct. <br /> Generator Signature: <br /> PAID BY:CASH /CI CK# /,Credit Card_ <br />