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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 1-18241 <br /> BILL OF LADING <br /> DATE T JOB NUMBER <br /> GENERATOR GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS 323 W• C"`1arter CASH RECEIVED (amt.) <br /> HALIDES _ P.P.M. <br /> JOB DESCRIPTION f <br /> MATERIALS <br /> COMBUSTIBLE LIQUID, N.O.S., -NA1993, III, (USED OIL) CODE# <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# START TIME l <br /> U.S. DOT DESCRIPTION: END TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE it USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO. OF GALLONS <br /> DRIVER'S SIGNATURE _ TRUCK# <br /> DESIGNATED TSDF; RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD.WEST SACHAMENTO 95691 CAD 044003556 <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 /> Ali used oil collected from the generator listed above will be transported only to a facility permitted by the State of CalifoZpla to produce used it into <br /> recycled ail. `iG • �— <br /> Terms-net 15 days. L <br /> After due date,a finance charge of 1.50%per month, 18.001/6 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 /> X <br /> GENERATOR SIGNATURE <br /> 24 Hour Emeraencv Response Team: 1-800-456-SPILL <br />