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0710112009 14:02 LANSAS PRODUCTS (FAX)2093398260 P.0081008 <br /> Amos Environmental. <br /> 'Services 2. <br /> 1515 South River Rd.., <br /> West Sacramento, CA 95691 <br /> (916) 371-5747, IIV1/OICE # <br /> CAD044003556 <br /> SERVICE .`5-582 ' <br /> SERVICE ORDER oauER No: <br /> B •.L OF (LADING <br /> DATE <br /> JOB'NUMBER <br /> GENERATOR anderi'—'s Sans GENERATOR EPAx A;` 000 279 992 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT Steve CHECK NUMBER- <br /> PHONE <br /> P.O.NUMBER .. <br /> JOB SITE ADDRESS 1 t/Q C C^r rcrm arit-n Si- ?ort i ()59,40 CASH RECEIVED (amt:): . <br /> HALIDES <br /> � fir» <br /> JOB DESCRIPTION __ '" e. f� F' i O iti • Cl- f? f% <br /> MATERIALS <br /> COMBUSTIBLE LIQUID, N.O.S., -NA19931 III,.(USED OIL) CODE# 7 7- <br /> �, r <br /> NON RCRA HAZARDOUS WASTE. SOLID`-LIQUID CODE m `START TIME' ' <br /> FIU.S. DOT DESCRIPTION: END"TIMEt " <br /> (USED ANTI FREEZE) NON RCRA HAZARDOUS WASTE LIQUID, CODE * f USED OIL FILTERS DRUMS <br /> MANIFEST NO.,'•'n6 ii !_ i'_3"P: — �':f,�_r :: ', E' f_; NO.OF GALLONS <br /> DRIVER'S SIGNATURE ! T.RUC!<.m` 1 f <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 151:5 SOUTH RIVER RD.WEST SACRAMENTO'95691 CAD 04.4003556 <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, packagedmarked 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 ti_-volume and toxicity of,waste generated to•the degree I have detetxr lned-, <br /> to be economically practicable. Ramos agrees with the generator to send Eiji-their hazardous.waste to an authorizedthazardous waste treatmenkfacliit <br /> via Ramos'standardized permitted storage facility. <br /> All used oil collected from-the generator listed abova will be transported only to a'-facllity-permitted by the State of California to produce used'oil into <br /> recycled oil d <br /> Terms-net 15 days;: �s`w r <br /> After due date,a finance charge of 1.50%per month, 18:00%o annual rate,will be charged orrthe unpaid+baiatt The customer agrees to pay reasonable <br /> costs and.attorney;fees inclined in the collection of this obligation.Venue'for:purpose5 ofenfotcemehtof this otilgatlonahall be Yolo County. <br /> I declare,under penalty of perjury that the foregoing is true and.correct. ' <br /> t � <br /> r . <br /> :'GENERASIGNATURE <br /> 24 Hour Emergency response Team: 1. 8.00 456=SPILL <br />