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Oct 01 03 08: 10a Car.rie Brown 1209) 461 -6342 p. 3 <br /> zM <br /> Ramos Environmental Serviced <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE # <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 64724 <br /> DATE_ il _ ���3 -- _-- JOB NUMBER <br /> ,` l it' v?w�Y1 t:DY i <br /> GENERATOR E '�' tGENERATOR EPA# "ALOJOLStiJ i.'. <br /> BILLING ADDRESS <br /> AMOUNT(1F ANY) <br /> GENERATOR CONTACT Jon CHECK NUMBER <br /> PHONE r't 9—+C1—ti'?3i1 P.O.•NUMBER -- <br /> JOB SITE ADDRESS 2535 irASt am. Dr CASH RECEIVED (amt.) <br /> S,nockLo ,cA,95205 HALIDES _ P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS +� �y <br /> ❑COMBUSTIBLE LIQUID,N.O.S.,-NA1993,ill,(USED OIL) CODE# <br /> ` 7NON RC RA HAZARDOUS WASTE. SOLID-LIQUID CODE# START TIME <br /> QU.S.DOT DESCRIPTION: END TIME <br /> El (USED ANTI-FREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS: <br /> MANIFEST NO. -� NO.OF GALLONSJS <br /> DRIVER'S SIGNATURE TRUCK# f <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD.WEST SACRAMENTO 95691 GAD 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 /> vk 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 tees incurred in the collection of this obligation.Venue for pses of-.enforcerment.ol this obligation shall be Yofo County. <br /> TS. <br /> 1 declare,under penalty of perjury that the foregoing is true and correct. ! f' <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1-800-456-SPILL -,� . <br />