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Ramos Environmental c rvices <br /> " 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 168393 <br /> BILL OF LADING - <br /> DATE - - JOB NUMBER <br /> t�( <br /> GENERATOR � � � A'An � �� �--t� CA F C� GENERATOR EPA# <br /> BILLING ADDRESS -_ <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT �I t SC -._ CHECK NUMBER <br /> PHONE ` t t Cp <br /> _..__.�._.�.._Y _ _ ._._P.O. NUMBER <br /> 1 <br /> JOB SITE ADDRESS ' CASH RECEIVED (amt.) <br /> cz� P HALIDES X P.P.M. <br /> JOB DESCRIPTION 4t CA-1Uv� S V"S[ 4V44 <br /> 1 <br /> MATERIALS <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # Z Z START TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # ARRIVE TIME <br /> LEAVE JOB 7 ' <br /> U.S. DOT DESCRIPTION: <br /> - STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WAS-1 E LIQUID CODE# USED OIL FILTERS —�� _ _ DRUMS <br /> MANIFEST NO. Q� NO. OF GALLONS 2- <br /> DRIVER'S SIGNATURE 14, TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST S,)CRAMENTO 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 /> 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. �; 1 <br /> X <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 V `�� <br />