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R�lsnos Environmental Service <br /> 1515 South River Rd. <br /> West Sacramento, CA 95961 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. <br /> BILL OF LADING <br /> DATE _____ _ ___. ...__— ___ JOB NUMBER __------- <br /> GENFRATOR __ _.: ._ __._ GENERATOR EPA n _.. <br /> BILLING ADDRESS <br /> AMOUNT IIF ANYj <br /> GENERATOR CONTACT__— ___.--_.._ __.._ CHECK NUMBER <br /> PHONE __ __.- ____._ P.O. NUMBER <br /> JOB SITE ADDRESS __ CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> NON RCRA HAZARDOUS'WASTE LIQUID. {USED OIL) CODE:>< <br /> NON FORA HAZARDOUS WASTE. SOLID-LIQUID CODE:r START TIME _.... <br /> E] U.S. DOT DESCRIPTION: _ ......._._ _..... _ END TIME . <br /> (USED ANTI-FRIELGE) NON RCRA HAZARDOUS WASTE UQI;ID CODE r __. USED OIL FILTERS DRUMS <br /> MANIFEST NO _ _.-------_--- NO.OF GALLONS '` '— <br /> DRIVER'S SIGNATURE _ _____ ________ TRUCK s <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95891 CADO.'40035513 <br /> I HEREBY CERTIFY THAT I HAVE NOT idiIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN'000 RRM'. <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 o°the Deparment of Transportation. <br /> Generator's Cert 6cation: I certify that i have a progran-in place to reouce the volume and tonicityof waste generated to the degree I have determined <br /> to be 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 of coitected from the generator listed above ivill be transported only to a facility permitted by the Stale of Ca1forne to accept used oil. <br /> Terms-net 15 days. <br /> After due date,a finance charge of 1,50%per month,1 B.QO% annual rate.will bs 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 penalty of perjury that the foregoing Is true and correct. <br /> X _ <br /> GENER,ii SIGNATURE <br /> 24 HOUr Emergency Response Tearn: 1-800-456-SPILL <br />