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FMm <br />08/1812012 10:59 #858 P.003/014 <br />Ramos Environmental Services <br />1515 South River Rd. <br />- West Sacramento, CA 95691 <br />(916) 371-5747 INVOICE # <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />DATI - <br />GENERATOR ZraatWstxa.�J. +'.�.al;ray <br />13)4LING ADDRESS <br />GENERATOR CONTACT Nino <br />PHONE 510-7.44-111-/ -- - <br />JOB SITE ADDRESS 1645 Cherokee X03: <br />St.ocktop, Cly, 95205 <br />JOB DESCRIPTION - --- <br />MATERIALS <br />SERVICE <br />ORDER NO, I Q 131 L <br />JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O, NUMBER <br />CASH RECEIVED <br />HALIDES <br />(amt.) <br />P.P.M. <br />( COMBUSTIBLE LIQUID, N.O.S.. - NA1993, III, (USED OIL) CODE # <br />NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # START,TIMIE <br />.r <br />U.$. DoT DESCRIPTION: — `. 5NtD(TIME <br />(USED ANTI -FREEZE) NON RCRA H,ASZARDOUS WASTE LIOUID CQD t19E© H FILPERS _ D MS <br />MANIFEST NO. <br />7 <br />DRIVER'S SIGNATURE TRUCK # Lq <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER Ftp, WEST SACRAMENTO 95691 CAD 044003558 <br />I HEREBY CERTIFY THAT I HAVE NOT MIXEIa THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 PP -M <br />This is to cattily that the above named articles are property 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: t certify that I have a program In place to reduce the volume and toxicity of waste generated to the degree t 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 />V,Osed oil collected from the generator listed above will be transported only to a facility permitted by the State of California to produce used oil into <br />fracycled oil, <br />Terms - net IS days. <br />After due date, a finance charge of 1.501/e per month; 18.00% annual rate, will be charged on the unpaid.Oaiance. The customer agrees to pay reasonable <br />costs and attorney fees incurred in the collection of this ot3Ngation. Venue for purposes of enforcem®rif of this obligation Shall be Yalo County. <br />1 ' - <br />I declare, under penalty of perjury that the foregoing Is true and correct, <br />X <br />G_ruG70r�il.rW <br />yf+F._,....----.._._._... -.-- <br />0E0/07,0 d 0883# GO EO 9003/81./01. <br />