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wos Environmental Servs HLULIVED <br /> 1515 South River Rd. <br /> Vilest Sacramento, CA 95691 JAN 06 2010 <br /> (916) 371-5747 <br /> CAD044003656 `;NVIRONNIENTAL <br /> z.-n 1 Tu nCDODTAAFMT <br /> SERVICE ORDER ORDERRDERE <br /> ONO, 153497 <br /> BILL OF LADING <br /> DATE 17--10 15 <br /> ' I JOB NUMBER <br /> GENERATOR _ <br /> GENERArOq EPA# _G r lips <br /> BILLING ADDRESS <br /> � <br /> GENERATOR CONTACTS AMOUNT (IF ANY) <br /> uuutu.JIIIJlt CHECK fJUMBER <br /> PHONE _.�'�.- �S l- 'l5'�- <br /> GRD. NUMBER <br /> JOB SITE ADDRESS A S �O h�-p G <br /> CASH RECEIVED (amt.) <br /> S -h1 ✓✓ y �y,--��, J�- e1 S <br /> HALIDES -L—L©Q�t�_ P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS 13 r 0SC6 0,1 <br /> ION RCRA HAZARDOUS WASTE LIQUID,(USED OIL) CODE# START TIME ,/0"00 <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# ARRIVE TIMEQ <br /> U.S.DOT DESCRIPTION: LEAVE JOB <br /> STOP TIME---Jt-=' V0 <br /> (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE#. .318 !. ,.Z� a <br /> USED OII,FILTERS DRUMS <br /> MANIFEST NO, — 9 rIG I $ .5 3 IL -S 4 TIS ND,OF GALLONS's � A - <br /> DRIVER'S SIGNATURE TRUCK S /31✓ <br /> DESIGNATED TSOF:RAMO5 ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER FID,WEST SACRAMENTO 95691 CAD 044003558 <br /> ---------------- <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXEn THIS WASTE WITH ANY OTHER WASTE,AND THE TOTACHAI_IDES ARE LESS THAN 1000 P.P,M, <br /> This is t0 certfly that the above named articles are properly classified, desoribod,'packaged, marked and are in proper Condition for <br /> transportation, a0cording tD the applicable regulations-of the Department of Transportation. - <br /> Genetatoft Certification: I csrtfty that I have a program,in piece to reduce the volume and toxicity Of waste generded to the degree i have determined <br /> to be economically Practicable.Radios agrees with the generator to send all their hazardous waste to an sutholized hazardous waste treatment facility <br /> via Remos'standardized permitted storage facility- <br /> All <br /> acilityAll used,oil collected from the generatOrYlstsd above will be transported only tO a 2*19ty permittedby the State of California to accept used 011. <br /> Terms-net 16 days. - .. <br /> After due date,a finance charge of 1,50%per month,18.00%annual rate,will be charged On the unpaid tbalance.'fho customer agrees to pay reasonable <br /> :osis and attorney foes incurred In the,c011octlou of this Obligation,Venue for purposes of enforcement of this obllf7atlon shall bo Yolo County. <br /> declare, under penalty of perjury that the foreguing'is true andcorrect. <br /> X <br /> OENEMATOR$KiI TORE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745. <br />