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12 - 06 - 18111 ' 58AM # 1 / 2 <br /> . . . . <br /> Ramos. Environmental Services <br /> 1515 South River Rd . <br /> West Sacramento , CA 95691 G <br /> (916) 371 =5747 <br /> CAD044003556 <br /> ENVIRONMEN1AJ� ITA <br /> SERVICE ORDER ORDER NO . <br /> BILL OF LADING <br /> DATE - • JOB NUMBER <br /> GENERATORr 4 GENERATOR EPA d c _ ► L, :CD t >C� u <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) _ <br /> GENERATOR CONTACT 44r CHECK NUMBER < < � ! ITSt'�I / ( r�/ <br /> PHONE �.^L �� Y. �l LOP 7,�1-� _ P. O . NUMBER <br /> JOB SITE ADDRESS 3 �? 2 J W Lel2 S21a C t "rLm i v A • CASH RECEIVED (amt.) <br /> 5 "L7 s- �. T, �, t • 'c15 3 �-( HALIDES 4 mac= P. P. M . <br /> VilJOB. DESCRIPTION , 'r _ <br /> Joe <br /> eel) lag <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID , (USED OIL) CODE # � z„ START TIME <br /> ARRIVE TIME / 4 <br /> E NON RCRA HAZARDOUS WASTE. SOLID we LIQUID CODE # <br /> LEAVE JOB �• '' <br /> U .S . DOT DESCRIPTION : STOP TIME <br /> (USED ANTIFREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS Al DRUMS <br /> MANIFEST NO. `'� '21,�/,:I 4f; N0. OF GALLONS <br /> loffiffilmol <br /> DRIVER 'S SIGNATURE '� r "; =• , — TRUCK # i <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES . 1515 SOUTH RIVER RD . WEST SACRAMENTO 95691 CAD 04400$559 <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 Certiflcatlon: 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 0110 <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 /> Received Time Dec , 6 . 2018 11 : 54AM No , 4446 GENE TOR SIGNATURE <br /> 7 /1 W ^ i r, r. Doc r% ^ nc% ^ Tnnm • 1 . Qnn _ A CZa . 77A r% <br />