Laserfiche WebLink
&OS invironmental Services <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />DATE— %- 1-t -- <br />GENERATOR -t-\ Q <br />BILLING ADDRESS <br />GENERATOR CONTACT l t _; .:.:. <br />PHONE .'i r _ w✓ . I <br />JOB SITE ADDRESS <br />V <br />JOB DESCRIPTION <br />MATERIALS <br />N NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE A <br />F] NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />F] (USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID <br />MANIFEST NO. n `"''- �1 �1 7 <br />DRIVER'S SIGNATURE <br />CODE# <br />SERVICE <br />ORDER NO. 137482 <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED (amt.) <br />HALIDES G___I „�,i_ PPM, <br />START TIME <br />END TIME <br />USED OIL FILTERS DRUMS <br />NO. OF GALLONS <br />TRUCK If _ 4 <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 />tabs 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 - not ,15 days. <br />After due data, 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 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 poo ty of perjury that the foregoing is two and correct. <br />X <br />GENERATOR SIGNATURE <br />24 Hoar Emergency Response Teti: 1-80Q JLL <br />