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Ramos Environmental Services <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE e <br />SERVICE ORDER ORDER NO. 166588 <br />BILL OF LADING <br />JOB NUMBER <br />DATE p�� ��� �� ,p NC <br />�• U �-�- {.�'�� T� �Bf%GENERATOR EPA # <br />GENERATOR_a <br />BILLING ADDRESS AMOUNT (IF ANY) <br />GENERATOR ONTACT <br />Q T CHECK NUMBER <br />7/CG/ P.O. NUMBER <br />PHONE / ) (amt.) <br />�D�7�! S� CASH RECEIVED <br />JOB SITE ADDRESSns�O / P.P.M. <br />, 'J b HALIDES <br />JOB DESCRIPTION <br />MATERIALS <br />t� NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # -1 <br />NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br />U.S. DOT DESCRIPTION: <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # <br />MANIFEST NO. <br />� TRUCK # ' <br />`DRIVER'S SIGNATURE <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: 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 />Declare, under penalty of perjury that the foregoing is true and correct. <br />X <br />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1-800-456-7745 <br />U 1 <br />START TIME <br />--- <br />ARRIVE TIME <br />LEAVE JOB <br />STOP TIME <br />t <br />USED OIL FILTERS <br />DRUMS <br />S <br />NO. OF GALLONS <br />— <br />� TRUCK # ' <br />`DRIVER'S SIGNATURE <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: 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 />Declare, under penalty of perjury that the foregoing is true and correct. <br />X <br />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1-800-456-7745 <br />