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Jan.12, 2012 9:24AM Ralios Environmental eric <br />1515 South River Rd. <br />West Sacramento, CA 95691 <br />(916) 371-5747 <br />CAD044003556 <br />SERVICE ORDER <br />BILL OF LADING <br />DATE 10 <br />GENERATOR <br />BILLING ADDRESS <br />Chase Chevrolet <br />GENERATOR CONTACT G <br />PHONE 209-475-6630 <br />JOB SITE ADDRESS 6441 Holman Dr. Stockton 95212 <br />JOB DESCRIPTION <br />M <br />MATERIALS <br />No, 6103 P. 13 <br />ORDER N. No. 122946 <br />JOB NUMBER <br />GENERATOR EPA # CAI' 000 117 545 <br />AMOUNT (IF ANY) <br />CHECK NUMBER <br />P.O. NUMBER <br />CASH RECEIVED <br />HALIDES 4 — P.P.M. <br />COMBUSTIBLE LIQUID, N.O.S., - NA1993, Ili, (USED OIL) CODE # ��_ �� <br />ell <br />NON RCRA HAZARDOUS WASTE. SOLID • LIQUID CODE # START TIME�� .� <br />0 U.S. DOT DESCRIPTION: END TIME <br />u (USED ANTIFREEZE} NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS D UMS <br />j,� <br />MANIFEST NO_ L, t , K `" NO.OF GALLONS c� <br />DRIVER'S SIGNATURE 5 TRUCK # t <br />DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1516 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003555 <br />I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 RP.M_ <br />This Is to certify that the above named ar lclas are properly classified, described, packaged, marked and are in proper condition for <br />transportation, according to Ihs 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 Slate of California to produce used oil Into <br />recycled oil. <br />Terms - net 16 days. <br />Aller due dale, a linance charge of 1.50% per month, 10.00% 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. <br />y r� <br />-; X QENERA70R SIGNATURE 1 <br />•ten !11'111 1 <br />