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11/1 /2008 14:49 2093312012 SJC PARKS PAGE 12/14 <br /> Environmental <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 371-5747 INVOICE #. <br /> CAD044003556 <br /> SERVICESERVICE ORDER -, <br /> ORDER NO. b 1 <br /> 13ILL OF LADING <br /> DATE_ <br /> ff t Lr JOB NUMBER <br /> GENERATOR,. GENERATOR EPA n <br /> BILLING ADDRESS S <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT_ 1CHECK NUMBER <br /> PHONEZ.{)r'.) ' <br /> P.O. NUMBER <br /> JOB SITE ADDP�Ss __ 1 1`� ' Irl: .. r cert`: k=� c ---. <br /> y �- 1 C 6 CASH RECEIVED (amt.) <br /> HALIDES <br /> JOB DESCRIPTION <br /> MATERIALS— <br /> COMBUSTIBLE LIQUID,N.O.S_,-NA1993,Irl,(USER Ott-) CODE 0_ A <br /> NON RCRA HAZARDOUS WASTE_. SOLID-LIOUID CODE 0 START TIME �i _ <br /> n U.S.DOT DESCRIPTION. END TIME <br /> (USED ANTI-FFtt:F7-E)NON RCRA HAZARDOUS WASTE LIQUID CODE if USED OIL FILTERS ,DRUMS <br /> MANIFEST NO. ;t,' F:�1.>�,r 1� <br /> a <br /> NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCtC If r'� -- <br /> �:.r <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1.515 SOUTH RIVER RD.WEST SACRAMENTO 95691 CAD 0440035,56 <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, paelcaged, marked and are in proper condition for <br /> transportation, according to the appfieable 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 homardous 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€acuity permitted by the State of California to produce used .nil Into <br /> recycled oil. <br /> Terms-net 15 days. <br /> After due date,a finance change of i so%per month,18,00%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 thi's obligation shall be Yolo County <br /> _.�doctarn,undee penalty of pe"that the foregoing 13 Info and correct, <br /> 24'Hour Emergency . rRr, ts«►�,� r� —'--�—� <br /> Tearrt. 1-8®0„456-SPIE i <br />