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MANUM <br /> � ~�=° <br /> Ramos Environmental <br /> �� <br /> 1515o�hR�8rRd. H�N� <br /> ^ <br /> West Sacramento, CA 95691 <br /> (9/6) 3/1-57*/ �0���������� �� <br /> ��/���0440O3556 -'- - ----- - <br /> SERVICE <br /> ��0���������� d��������� 96134 <br /> ��°��°� ".�== ~�°°=���°� ORDER NO <br /> BILL ���� LADING <br /> m�'��=�� n��mr <br /> � <br /> DATE <br /> JOB NUMBER <br /> ' <br /> oENERvTORoEmERmm7nsp«w <br /> -_` <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT <br /> CHECK NUMBER <br /> PHONE <br /> P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> JOB DESCRIPTION <br /> MATERIALS <br /> COMBUSTIBLE LIQUID,N.0-S.,-NA1993,III,(USED OIL) CODE# <br /> | |NON RCRAHAZARDOUS WASTE. SOLID-LIQUID CODs# START TIME <br /> [—1 U.S. DOT DESCRIPTION: END TIME <br /> [] (USED ANTI-FREEZE)NON8CRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO.OFGALLONS <br /> DRIVER'S SIGNATURE TnooK# ' <br /> DESIGNATED TSoF:RAN0SENVIRONMENTAL SERVICES. 1s1sSOUTH RIVER RD,WEST SACRAMENTO osoo1 CAD 044003556 <br /> 1 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 o|awsifiod, d000hUog, paukagad, marked and are in proper condition for <br /> tmnaportaonn, according to the applicable mgu|uUuno 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 toafacility ponniVad bythe State o(California tn po"Uuoa used oil into <br /> recycled 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 <br /> reasonable" <br /> ,osts and attorney fees incur red in the collection mtmsom|igauvn. Venue for purposes ofenforcement o/thia obligationshall UeYoloCounty. <br /> uoo|am.unua,nenaxrmpnnunmatmo,oreuo/no/uuoeunuoo,rem. <br /> ` <br /> � <br /> X <br /> 24 Hour Emergency Response Team: 1- <br />