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R&os Environmental Serves <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 <br />GENERATOR <br />BILLING ADDRESS — <br />GENERATOR CONTACT <br />PHONE <br />JOB SITE ADDRESS <br />JOB DESCRIPTION <br />MATERIALS <br />kt NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # <br />❑ NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID. <br />MANIFEST NO. <br />DRIVER'S SIGNATURE <br />'?i <br />CODE# <br />RECEIVEC <br />APR 2 4 2015 <br />SEJRONMENTAI <br />ORDMNIG? ncnnnTrrrn <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) _ <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />HALIDES <br />(amt.) <br />P.P.M. <br />START TIME <br />ARRIVE TIME <br />LEAVE JOB <br />STOP TIME <br />1 i <br />USED OIL FILTERS DRUMS <br />NO. OF GALLONS 5-1, <br />TRUCK # <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br />1 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: I certify that I have a program in place to reduce the volume and toxicity of 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 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 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 />SIGNATURE <br />24 Hour Emergency Response Team: 1-800-456-7745 <br />