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Ramos Oil Rec clers Bill of Lading <br /> 1515 South River Road <br /> West Sacramento,CA 95691 No: 21-00q8487 <br /> Order Date: 1)_ '2 <br /> Phone:(916)371-5747 Fax:(916)371-9312 Taken by: CANCKNER <br /> Lust PO# Terr/Man# Assigned Sales Cat. Cust.Code <br /> 200064 SAC HAZ 32290 EPA ID# CAL000456484 <br /> Customer: LODI USD Start Date: <br /> 1305 EAST VINE STREET End Date: <br /> LODI CA 95240 <br /> Contact: PETE <br /> Job Phone: 209 331-7127 <br /> Bill To: 32290 <br /> Job Location: 880 N GUILD AVE Bill Type: Bill of Lading <br /> LODI CA 95240 Estimated Hours: .00 <br /> P.O.# <br /> Sched For: 211209(@,0800A00 <br /> S/C T e: UO <br /> Description: <br /> P/O 110G USED OIL <br /> M-F 6-2:30 <br /> Materials: <br /> HALIDES `11 1; a PPM START TIME: 3 > <br /> on RCRA HAZARDOUS WASTE LIQUID,(USED OIL)CODE# ARRIVE TIME: <br /> _Non RCRA HAZARDOIUS WASTE SOLID—LIQUID CODE# LEAVE JOB: <br /> STOP TIME: <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS: <br /> MANIFEST NO. ) % ") {> NO.OF GALLONS <br /> DRIVER'S SIGNATURE r 1`!f — ' TRUCK# L <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES.1515 S.RIVER Rd.WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 HEREBY CERTIFY THAT 1 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 1 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 /> PAID BY:CASH /CHECK# /Credit Card <br />