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From: 06/18/2012 11:02 <br />Ramos Environmental Services <br />1515 South River Rd. <br />West Sacramento, CA 95961 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL 4F LADING <br />DATE - <br />i �.. <br />C3ENEKiAtOfi 1 I ti •" ', i, ( (,. ;�� ' . {_•. , • , <br />BILLING ADDaE5S - <br />GENERATOR CONTACT" 1;� " 5 — <br />PHONE - <br />JOB SITE ADDRESS i fir' ` ( '''� ' v • k, <' .�,. i�.. ` . — <br />JOB DESCRIPTION <br />ME <br />r <br />Q <br />MATERIALS Q.2 "l 1:, <br />T <br />r <br />#858 P,013/014 <br />SERVICE <br />sa <br />ORDER NO. <br />J013 NUM6ER <br />GENERATOR EPA # <br />L <br />AMOUNT (IF ANY) <br />CHECK NUMBER _ <br />P.O. NUMBER <br />CASH RECEIVED <br />-- (amt.) <br />HALIDES <br />P. P. M, <br />NON HCRA HAZARDOUS WASTE LIQUID, (USED OIL,) COD€ # -Z <br />NON RCRA HAZARDOUS WASTE, SOLID • LIQUID CODE 0 — START TIME -- <br />0 U.S. DOT DESCRIPTION; END TIME / <br />{USED ANTIFREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # 3 1/-? USED OIL FILTERS t - DRUM$ <br />MANIFEST NO. 00S q t &s Z AZ g06UNO. OF GALLONS 4 ' - <br />DRIVER'S SIGNATURE TRUCK # <br />D€51GNATED TSDF: RAMOS ENVIRONMLN7AL SERVICES, 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br />I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TAL HALIDES ARE LESS THAN 1000 PRM - <br />This Is to Certify that the above named articles are properly classified, described, /p i1 marked and are in proper condition tot <br />transportatton, according to the applicable regulations of the DeP61ment of Transpoltatio� �Y <br />Generator's Certificatlon: I certify that I have a program in place to reduce the volurne and toxicity of waste generated to the degree I have determined <br />4¢! -to be economically pRiCticable. Ramos agrees with the generator to send all their hatardQ�S Juasle f 9. sin authorized hazardous waste treatment facility <br />via Ramos' standardized pamOtted storage facility. 1 ( y <br />All used of] collected from the generator listed above will be it&Naported br :a facility ,mitted by" the S`tat'e 6f•Cafifornla to accept used oil, <br />terms - net 15 days. <br />After due date, a finance charge of 1,50% per month. 18.00% annual rata, 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 onforcement of this obligation shall be Yolo County. <br />r <br />I declare, under penalty of perjury that the foregoing is true and correct. <br />X �: <br />`'- <br />GENERATOR SIGNATURE <br />ti•�ir <br />OSO/67,0'd 08H# s0:60 90W8[./0t <br />