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Jan, 12, 2012 9:24AM RajWs Environmentai a is <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CADO44003556 <br />DATE W Ik'0 <br />GENERATOR Chase Chp-yrolet <br />13ILLING ADDRESS <br />GENERATOR CONTACT Ga <br />PHONE — — <br />JOB SITE ADDRESS <br />No. 6 10 3 P, 11 <br />SERVICE <br />ORDER NO. 122717 <br />JOB NUMBER <br />GENERATOR EPA # CAL-DOG-112-545— <br />AMOUNT <br />ATX00 117 51ti5— <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O, NUMBER. <br />CASH RECEIVED <br />HALIDES <br />JOB DESCRIPTION I -- <br />MATERIALS <br />KCOMBUSTIBLE LIQUID, N.O.S., - NA1993,111, (USED OIL) CODE # '0Z <br />NON RCRA HAZARDOUS WASTE- SOLID - LIQUID CODE # <br />EIU.S. DOT DESCRIPTION: <br />Q (USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID <br />MANIFEST NO. <br />DRIVER'S SIGN <br />CODE # <br />(amt.) <br />L l,�o _. P.P.M. <br />START TIME __ e' 1, — <br />END TIME _ t ` l <br />USED OIL FILTERS DRUMS <br />NO. OF GALLONS C.�11L" <br />TRUCK # <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD- WEST SACRAMENTO 95691 CAD 044003566 <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 1 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' 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 produce used oil into <br />recycled oil. <br />Terms - net 15 days - <br />After due date, a finance charge of 1.50% per month, 16.00° 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 enforcerP®nt of this obligation shall be Yolo County. <br />I declare, under penally of perjury that the foregoing is true and correct. <br />(il <br />GENERATOR SIGNATURE <br />/h1� I nig <br />