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'Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 167802 802 <br /> BILL OF LADING <br /> DATE .0-1LA JOB NUMBER <br /> GENERATOR 1 — `u,_c GENERATOR EPA# <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACTC` CHECK NUMBER <br /> PHONE Ir 415 1-1 <br /> 1_;� A P.O. NUMBER <br /> JOB SITE ADDRESS U� C CASH RECEIVED (amt.) <br /> CA J HALIDES �1�C�7 <'? P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# START TIME ("5,3, <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# ARRIVE TIME <br /> LEAVE JOB _ `7 <br /> U.S. DOT DESCRIPTION: STOP TIMET�� Q <br /> F] (USED ANTI-FREEZE)/NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS _ DRUMS <br /> MANIFEST NO. NO. OF GALLONS y.S <br /> +,aDf31 4R'S SIGNATURE /1 `✓ TRUCK# = <br /> �' y ar-� t <br /> If <br /> -DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1.515 SOUTH RIVER RD. WEST SACRAMENTO 95691 AD 044003556 <br /> '"`1 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 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 3 <br />