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Jan, 12. 2012 9:23AM <br />RJ6os Environmental Servicle <br />- a 1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />DATE too <br />GENERATOR <br />BILLING ADDRESS — <br />GENERATOR CONTACT <br />W� =go i'llig <br />Ay"IL912 <br />Chase Chevrolet <br />Ga <br />PHONE 209-475-6630 <br />JOB SITE ADDRESS 6441 Holman Dr, Stockton 95212 <br />JOB DESCRIPTION <br />O\L � <br />MATERIALS MATERIALS <br />No, 6 10 3 P. 5 ---.....----..._. <br />SERVICE <br />ORDER No. 121156 <br />JOB NUMBER <br />GENERATOR EPA# CAL 000 117 545 <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />HALIDES <br />(amt.) <br />4 u P.P.M. <br />COMBUSTIBLE LIQUID, N.O,S., - NA1993, IIF, (USED OIL) CODE #, ow`2 1 <br />FINON RCRA HAZARDOUS WASTE. SOLID -LIQUID CODE # STAEdTTIME —�� <br />U.S. DOT DESCRIPTION: END TIME <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERSD UMS <br />MANIFEST NO. NO. OF GALLONS . 1 4� <br />DRIVER'S SIGNATURE TRUCK # `� <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD, WEST SACRAMENTO 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 toxlclty of waste generated to the degree t have determined <br />to be economically practicable. Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment faclllty <br />via Ramos' standardlzed permitted storage facility. <br />All used oil collected from the generator listed above will be transported only to a faclllty permitted by the Slate of California to produce used oil into <br />recycled oil. <br />Terms - net 15 days. <br />After due date, a finance charge of 1.50% per month, 18.001% 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 penally of perjury that the foregoing Is true and correct. <br />L <br />X <br />AFNFRATnt; RIriNATI)RH ,. <br />