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Jan. 12, 2012 9:24AM No, 6103RM, P. 10. ;.. <br />Rers Environmental Servic <br />1,515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 INVOICE # <br />CAD044003556 <br />SERVICE <br />SERVICE ORDER NO. 121819 <br />LADINGBILL OF <br />DATE <br />GENERATOR <br />BILLING ADDRESS <br />GENERATOR CONTACT <br />PHONE1• .• 1 <br />JOB DESCRIPTION <br />t) C�) <br />MATERIALS <br />,JOB NUMBER <br />GENERATOR EPA # <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.0- NUMBER <br />CASH RECEIVED <br />HALIDES <br />.<k'yCxJ <br />(amt.) <br />P.P.M <br />1 /�L COMBUSTIBLE LIQUID, N.O.S., - NA1993, 111, (USED OIL.) CODE # l.�^ <br />K❑'\NON RCRA HAZARDOUS WASTE. SOLID ; LIQUID CODE # START TIME �� `ZL = — <br />El U.S. DOT DESCRIPTION: END TIME <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS C DRUMS <br />1 t. 1 t NO.OF GALLONS *� '�+ �4 L <br />MANIFEST NO. ©C�—'� 1 `'� <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 />fransportation, 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 permitled by the State of California to produce used oil into <br />recycled oil. <br />Terms - not 15 days. <br />Alter due date, a finance charge of 1.50% per month, 16,00% annual rate, wilt be charged on the unpaid balance. The customer agrees to pay reasonable <br />costs and attorney fees Incurred in the collection of this obligallon. 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 />G riPTOR GIGNATURE <br />