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Ramos Environmental Services <br /> 7 s7 s soptn FSlvar rtd. <br /> Wast Sacramento, CA 95691 <br /> (976) 371-5747 <br /> �� CA�044003556 <br /> M SERVICE <br /> �� SERVICE ORCER oROER nlo. 163376 <br /> BILL OF LASING <br /> /Zp/� �] JOB NUMBER <br /> DATE C\ ^ /� /+ �+ .1��j/2�ye-� S <br /> GENER R � `�f � 1 \��� l /4�Y)OQNI'L/�ENERATOR EPA fIC -=/'<I`�(/[�( 1��� //(�� <br /> BILLING ADDRE85 <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE ��)) � P.O. NUMBER <br /> �pL � CASH RECEIVED (ami] <br /> JOB 31TE ADORE S <br /> HALIDEB P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> START TIME �(' �� <br /> NON RCRA HAZARDOUB WABTE LIQUID.(UBEO OIL) cODE H �� gRRIVE TIME lT-^ <br /> NON RCRA HAZARDOUS WABTE. 30LID-LIQUID CODE N LEAVE JOB 1 •.30 <br /> O U.S. DOT DESCRIPTION: STOP TIME 7 `�Q <br /> O (USED ANTI-FREEZE)NON RCRA HAZARDOUB WASTE LIpUID CODE b USED OIL FILTERS ORUMB <br /> MANIFEST NO. NO.OF GALLONB �25 <br /> �l TRUCK# <br /> DRIVER'S SIGNgTLIRE �� � I <br /> pE81GNATEO T80F:RAM08 ENVIRONMENTAL BERVICES. 1516 SOUTH RIVER RD.WE8T SACRAMENTO 95891 CAO 044003556 <br /> I HEREBY CERTIFY THAT 1 HAVE NOT MIXED TH18 WASTE WITH ANY OTHER WASTE,ANO THE TOTAL HALIDES ARE LESS THAN 100D P.P.M. <br /> TM1Is Is to certify that SM1a above n mad articles a a propatly claeslflatl, described. packag¢d, mark¢tl and are In proper candl[Ion for <br /> transportatlan,according fo[M1a appll able regulations of[ha Department oT T anaportailon. <br /> Ganeretor's Gartlfication:I cartiTy thaf I have a program In plata tc reduce[M1a volume end toxicity of was[¢generated to tM1¢degree 1 have tlatarminatl <br /> [a ba aconomlcally practicable.Ramos¢graea wltM1 the generator to s¢nd all[M1afr hazardous waste to an au9�onzad M1azartlous waste ttaatmaM faclllty <br /> via Ramos'stantlardlzad permitted storage facility. <br /> All used oil collected from the generator Ilatad above will be transported only tc a faclllty parmitt¢d by[M1e 8tata of Caltfomla to accept used til. <br /> Terms-net t6g ays. <br /> AHar du¢data, flnanc¢charge of 1.50%par montM1,18A0%annual rata,will be charged on the unpaid balance.TM1a customer agrees to pay resscna a <br /> costs and attorney fees Incurred In the collection of[M1Is obligation.Vanua for purposes of anforc®ment pf[his obligation sM1all b�Yolo County. <br /> I declare,under penalty of perjury that the foregoing is true and corracL _��' <br /> XJ <br /> J ENEAATOR SIDNA V �$1Sy <br /> - 24 Hour Emergency Response Team: 7 -800-456-7745 <br />