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/--\Ramos Environmental S---,vices <br /> - 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICEa r�e <br /> SERVICE ORDEFZ ORDER NO. 169625 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR A ,AQ � r PI rola.. GENERATOR EPA#(-A <br /> BILLING ADDRESS <br /> E <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT ��fL'nC� � U CHECK NUMBER <br /> PHONE C,/ G P.O. NUMBER <br /> JOB SITE ADDRESS L CASH RECEIVED (amt.) <br /> L� HALIDES , r <br /> `� P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ' START TIME <br /> CJL' `� <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # C <br /> LEAVE JOB <br /> U.S. DOT DESCRIPTION: STOP TIME \ F�CJ() <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO. ( < ("I J J (` NO. OF GALLONS <br /> DRIVER'S SIGNATUW TRUCK# <br /> --D IGNATED TSDF; RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 04400355¢ <br /> l'4REBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES ARE LESS THAN 1000 RP.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 they paid balance.The customer agrees to pay reasonable <br /> costs and attorney fees incurred in the collection of this obligation. Venue for purposes of enfo ernent 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 Tam: 1 -800-456-7745 <br />