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r Ramos Environmental Services <br /> 1515 South River'Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER No. 172458 <br /> BILL OF LADING <br /> DATE ' Z� JOB NUMBER <br /> GENERATOR V 1 �"� ��P-�0 �� GENERATOR EPA# <br /> BILLING ADDRESS <br /> J, AMOUNT(IF ANY) <br /> GENERATOR CONTACTS A �Gf^- �"1 o �- CHECK NUMBER <br /> .--PHONE-- 1 7)- Q....�-��_,. - - P.O'.NUMBER--- - - --- - - —. <br /> JOB SITE ADDRESS III,-z' /JC`'C-` CASH RECEIVED (amt.) <br /> ,e-,L HALIDES P.P.M. <br /> JOB DESCRIPTION t l V / O _T-,7_X e� - -� <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# <br /> LEAVE JOB <br /> ❑ U.S. DOT DESCRIPTION: <br /> STOP TIME <br /> ❑ (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> qAWW0S SIGNATURE TRUCK# �� --- <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTA-SERVICES. 1515SOUTH RIVER RD.WEST 6ACRAMENTO'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 /> T I 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 /> f - <br /> Terms-net 15 days. <br /> s: 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 /> 's 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 /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1-800-456-7745 LC 5-�- <br />