Laserfiche WebLink
Jan, 12. 2012 9 ; 24AM <br />Raws Environmental Serviccu& <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />1:11 q 4101A -q-111 I I," - <br />No, 6103 P. 12 7 <br />um <br />[1111-111:431 <br />• • • <br />DATE JOB NUMBER <br />GENERATOR Chase Chevrolet GENERATOR EPA# CAL 000 11.7 _145 <br />BILLING ADDRESS <br />GENERATOR CONTACT Ga <br />PHONE 209-475-6630 <br />JOB SITE ADDRESS6441 Holman Dr, Stockton 95212 <br />JOB DESCRIPTION JhJ w® a 1? r' o <br />MATERIALS <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P_O_ NUMBER <br />CASH RECEIVED <br />(amt.) . <br />HALIDES 411,00 P.P.M- <br />T <br />OMBUSTIBLE LIQUID, N.O.S., - NA1993,11I, (USED OIL) CODE# —9ON RCRA HAZARDOUS WASTE. SOLID -LIQUID CODE # START TIME <br />U -S. DOT DESCRIPTION; END TIME <br />(USED ANTI -FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # 3l USED OIL FILTERS <br />MANIFEST N0, <br />DRIVER'S SIGN <br />NO. OF GALLONS <br />a gz <br />_ DRUMS <br />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 property 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 Ihat 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 produce used oil Into <br />recycled oil. <br />Terms - net 15 days. <br />After due dale, a finance charge of 1.50% per monlh,.18.00% annual rate, will be charged on the <br />costs and attorney fees Incurred in the collection of this obligation: Venue for purposgs of enforc <br />I declare, under penalty of perjury that the foregoing Is true and correct. <br />balance. The customer agrees to pay reasonable <br />f this obligation shall be Yolo County_ <br />17— <br />X ' V\- d \J <br />GENERATOR SIGNATURE <br />