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Apr 29 1610:51a King Isand Enterprises 20 7 4364. <br /> RAPoS Environmental ServiC v� V'� " <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 APR 2 9 2016 <br /> (916) 371-5747 ryt��r,t, <br /> CAD044003556SERVICE <br /> SERVICE ORDER ORDER NO. <br /> BILL OF LADING <br /> DATE t'�c ..{� - ?ti _... <br /> -...__ -_. ._..--. . JOB NUMBER <br /> GENERATOR <br /> - GENERATOR EPA If c <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT s•- "� _ CHECK NUMBER <br /> PHONE ✓ �- L! - '-t P.O. NUMBER <br /> JOB SITE ACDRESS CASH RECEIVED (amt.) <br /> i [ HALIDES <br /> P.P.M. . <br /> JOB DESCRIPTIOttic <br /> i MATERIALS <br /> I <br /> 't:`:.• '�° <br /> NONONRCRA HAZARDOUS WASTE LIOUiD,(USED OIL) CODE X STARTTIME <br /> ARRNETIME <br /> NON RCRA HAZARDOUS WASTE. SOLID.=LIQUID. CODE k .a: �'• <br /> -- LEAVE JOB <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME - '--+ <br /> a (USED ANTI-FREEZE) NON RCRA HAZARCOUS WASTE LIQUID CODE USED OIL FILTERS DRUMS <br /> MANIFEST NO.." � ,?� 1 � � ?,t .� -\ N0. OF GALLONS <br /> DRIVER'S SIGNATURE " ` TRUCK ft - <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 .000 P.P.M. <br /> Tills is to certify that the above named articles are properly classified, described, packaged, marked anc are in proper condition for <br /> transportation,according 10 the applicable regulations ofhe Department of Transportation. <br /> Generator's Certification: I certify tnat I have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have determined <br /> to be economical practicable. Ramos agrees with the geneator to send all thaf hazardous waste to ar authorized hazardous waste treatment facility <br /> i via Ramos'standardized permitted storage facility. <br /> i <br /> • AA used of collected from the generator listed above will be transported only to a facility permittee by[Fe State of Cali`ornia to except used oil. <br /> Terms-net 15 days. <br /> After due tate,a finance charge o'1.SD%per month, 18.0055 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:his obligation.Venue for purposes of enforcement of this obligation shall be Yale County. <br /> i <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> X <br /> ' `GEN aaATGfi SIGNANf� <br /> r r.. <br /> ... .� �, J <br /> %':• ;^`,^,i.: _:-:erg,.. ._..: =qc^.i^,cg �',�.i'.. 4 <br />