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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 /> SERVICEORDER ORDER NO. 169123 <br /> BILL 'OF LADING <br /> DATE JOB NUMBER <br /> r 5 <br /> GENERATOR .P GENERATOR EPA <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> i - <br /> GENERATOR CONTACT- t f CHECK NUMBER {� ( <br /> PHONE P.O. NUMBER '' <br /> JOB SITE ADDRESS i CASH RECEIVED (amt.) <br /> HALIDES -- ,C?�aC P.P.M. <br /> JOB DESCRIPTION <br /> MATERIALS <br /> 7 START TIM E ^' <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# <br /> ARRIVE TIME ' <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# <br /> LEAVE JOB <br /> FIU.S. DOT DESCRIPTION: STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FALTERS DRUMS <br /> MANIFEST NO. 7 12. NO.OF GALLONS <br /> a DRIVER'S SIGNATURE i r TRUCK# S <br /> SEE3VIGES..-1513-50iJTH RI.v R RD.WEA SACFiAM..EN�O 9a.691 CAD 04400_ <br /> DESIGNAT5.lo7 TSL�F4..RAMOS.ENVIRONMENTAL- .- <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND THE TOTAL HALIDES AAE-LESS THAN11000 PRM. <br /> This is to certify that the above named articles are properly classified, described, packaged, marked and- axe- 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 generat Ito.tie dl?6'1l� e detormined <br /> to be economically practicable. Ramos agrees with'the generator to send all their hazardous waste to an author+z haza[dous viastetr�tment facility <br /> via Ramos'standardized permitted storage facility. r'k <br /> All used oil collected from the generator listed above will be tewisporled only to a facility.permitted by the-State of California to aec4t+ d oil. <br /> Terms-net 15 days. <br /> After due date,a fihance.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 attorney fees incurred in the collection of this obligation.Venue for purposes of enforcement of this obligation shah be Yolo County. <br /> I declare, under penalty of perjury that the foregoing is true and correct. <br /> j GENERATOR SEGhWURE <br /> 24 Hour Emergency Response T-eam; 1 -800-456-7745 vy <br />