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Ramos Environmental Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 177049 <br /> BILL OF LADING <br /> DATE JOB NUMBER <br /> i <br /> GENERATOR _ � 1 - - - GENERATOR EPA# ! !1 � <br /> BILLING ADDRESS <br /> _ AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE P.O. NUMBER <br /> JOB SITE ADDRESS '' i f CASH RECEIVED (amt.) <br /> r HALIDES P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> -ti <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE #t START TIME - <br /> ARRIVE TIME 'fr <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE 4 <br /> LEAVE JOB <br /> ❑ U.S. DOT DESCRIPTION: STOP TIME �.. <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> � f <br /> MANIFEST NO. ` i G NO. OF GALLONS ! Gt <br /> DRIVER'S SIGNATURE f TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES, 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> I HIWREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 RPM. <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 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 accept used oil. <br /> Terms-net 15 days. <br /> After due date, a finance charge of 1,50% per month, 18.00% annual rate, will be charged on the unpaid balance.The customer agrees to pay reasonable <br /> costs and a,t.)rney 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 /> x <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 1 l <br />