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-it 6,o � <br /> Ramos Oil Rec clers Bill of Lading <br /> 1515 South River Road <br /> West Sacramento,CA 95691 No: 233- 018654 <br /> Order Date: 1 1 <br /> Phone:(916)371-5747 Fax:(916)371-9312 Taken bv: SFLOYD <br /> Cust PO# Terr/Mao# IAssianed Sales Cat. Cust.Code <br /> SAC HAZ 10480 EPA ID# CAL000393959 <br /> Customer: AMERICAN RIVER AGGREGATES Start Date: <br /> P.O.BOX 4452 End Date: <br /> EL DORADO HILLS CA 95762 <br /> Contact: JOE <br /> Job Phone: 209430-2033 <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: 230912 ai,0800A00 <br /> S/C Type: UO <br /> De ri tion <br /> UMP OUT USED OIL 15 <br /> CV <br /> �ITIFREEZE ,3tj 5 <br /> Pf6K UP USED OIL FI TERS 55G(1) <br /> DELVER USED OIL FILTERS 55G(1) <br /> Materials: <br /> HALIDES -<Q)OL) I PPM START TIME: 7 ori <br /> Non RCRA HAZARDOM WASTE LIQUID,(USED OIL)CODE# ZZ ARRIVE TIME: <br /> _Non RCRA HAZARDOIUS WASTE SOLID—LIQUID CODE# LEAVE JOB: ' <br /> STOP TIME: <br /> (USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# -3 USED OIL FILTERS: <br /> MANIFEST NO. V-- NO.OF GALLONS-63S <br /> DRIVER'S SIGNATURE TRUCK# Z?O <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES.1515 S.RIVER Rd.WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 Yolo County. <br /> I declare,under penalty of perjury that the foregoing is tru nd correct. <br /> Generator Signature: xLIA <br /> PAID BY:CASH /CHECK# /Credit Card <br />