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Ramos Environmentai Services <br /> 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 37.1-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDERNO. 170062 <br /> BILL OF LADING <br /> DATE JOB NUMBER {� <br /> GENERATOR �7 f{ '�' GENERATOR EPA $e1 <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT ! CHECK NUMBER <br /> PHONE <br /> jag — r 4, P.O. NUMBER <br /> JOB SITE ADDRESS `1w} _ T CASH RECEIVED (amt.) <br /> C-x r' (—� HALIDES ��. ��� — P.P.M. <br /> JOB DESCRIPTION if - - <br /> Yf _ n r <br /> rJ J + <br /> cz <br /> MATERIALS <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE#_ `.' START TIME <br /> F-] <br /> ARRIVE TIME �• -� <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# f <br /> LEAVE JOB <br /> EIU.S. DOT DESCRIPTION: r <br /> _ STOP TIME <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID <br /> �y <br /> UID CODE# _`.ti r% USED OIL FILTERS �` DRUMS <br /> MANIFEST NO.�7I�"� f" � ��� �,�^` fC�' I o J2 � � �� NO.OF GALLONS <br /> --DRIVER'S SIGNATURE TRUCK# <br /> L)ESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD-WES SACRAMENTO 95691 CAD 044003556 <br /> �r I>fEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASE E, AND THEJ0'rAL 149 E ARE LESS THAN 1000 P.P.M. <br /> ,w.— is is to certify that the above named articles are properly classified, described, packaged, Mn 116earld 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 Ilsted above will be transported only to a facility permitted by the State of California Lo 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.attorney 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 fir_ <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -500-456-7745 L/bl, C�-1 :� <br />