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`-- Ramos Environmental Se—ices <br /> �� 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 f <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 169375 <br /> BILL OF LADING <br /> DATE _ .. .� <br /> JOB NUMBER <br /> GENERATOR ~� '+ r L - /C l�(r Q GENERATOR EPA#. (- j <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT S 6k-Y') CHECK NUMBER <br /> PHONE qY� QP.O. NUMBER <br /> JOB SITE ADDRESS L i" =— CASH RECEIVED <br /> CA 9 ` ' HALIDES P.PM. <br /> JOB DESCRIPTION II / <br /> 6 o CIO AQ-1 <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# _ START TIME <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# 13O <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: <br /> STOP TIME 7 <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS am— DRUMS <br /> MANIFEST NO. 710 2 ZZ 1c NO. OF GALLONS �-, IJV <br /> DRIVER'S SIGNATURE = TRUCK# S`� <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> fia'`-I<E'REBY 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 accept used 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 /> X <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />