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, .� Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> s - <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICEC <br /> SERVICE ORDER ORDER NO. x.68517 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> GENERATOR 4 `S�A o ` Ha7CA._ GENERATOR EPA#(^/11 OM <br /> BILLING ADDRESS <br /> C AMOUNT (IF ANY) <br /> GENERATOR CONTACT T<<?(1(��'� �� CHECK NUMBER <br /> PHONE r 1- - P.O. NUMBER <br /> JOB SITE ADDRESS L CASH RECEIVED (amt.) <br /> L(n HALIDES Z �110 D n P.P.M. <br /> JOB DESCRIPTION 02n�J <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# _ t START TIME <br /> ARRIVE TIME 3 <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE # y <br /> LEAVE JOB rZ <br /> El U.S. DOT DESCRIPTION: STOP TIME /S SC Q <br /> F1 (USED ANTI-FREEZE) NON RCRA HAZARDOUS <br /> WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. / 7 / \ / NO. OF GALLONS <br /> rDRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> 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. i <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response,.-Team: 1 -800-456-7745 <br />