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DATE <br />r0. <br />Ramos Environmental Ser es <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 />GENERATOR J-Ctl= rial .RailWay:s <br />BILLING ADDRESS <br />GENERATOR CONTACT <br />PHONE 5 10-7 74-4294 <br />JOB SITE ADDRESS 1645 Chernkee Rd `s oC �n 0520 <br />JOB DESCRIPTION <br />MATERIALS <br />SERVICE <br />ORDER NO,, <br />JOB NUMBER <br />GENERATOR EPA # _=AL w -!u i <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />HALIDES <br />R COMBUST!BLE LIQUID, N.O.S., - NA1993, III, (USED OIL) CODE # <br />❑ NON RCRA HAZARDOUS WASTE. SOLID -LIQUID CODE #__ START TIME <br />U.S. DOT DESCRIPTION: _ END TIME <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS <br />MANIFEST NO c `� NO. OF GALLONS <br />DRIVER'S SIGNATURE <br />TRUCK # <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br />(amt.) <br />P.P.M. <br />DRUMS <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 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 produce used oil into <br />recycled oil. <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 />GENERATOR SIGNATURE <br />24 Hour Emergency Response Team: 1 -800 -456 -SPILL <br />