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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 /> SERVICE ORDER ORDER NO. 1 7 6 7 0 0 <br /> BILL OF LADING <br /> DATE jj � l �V JOB NUMBER <br /> GENERATOR 1= �^ 1�0 wh r �� `' S rl� ��t �{ yyy GENERATOR EPA # <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) <br /> GENERATOR CONTACT U CHECK NUMBER <br /> PHONE t- 1 ' 3 �' j P. O . NUMBER <br /> JOB SITE ADDRESS `( 5 .7 S S N1 L Vw� 13 tCASH RECEIVED <br /> (amt.) <br /> HALIDES 1© L P. RM . <br /> JOB DESCRIPTION y 0Y/ S/ <br /> Joe <br /> �c ; ! � <br /> MATERIALS <br /> START TIME <br /> NON RCRA HAZARDOUS WASTE LIQUID , (USED OIL) CODE # ARRIVE TIME �/ O <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # <br /> LEAVE JOB <br /> U . S . DOT DESCRIPTION : STOP TIME O <br /> F1 (USED ANTI - FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS DRUMS <br /> MANIFEST NO , <br /> NO. OF GALLONS <br /> DRIVER ' S SIGNATURE TRUCK # <br /> J <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES , 1515 SOUTH RIVER RD , WEST SACRAMENTO 95691 CAD 044003556 <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 properly classified , described , packaged , marked and are in proper condition for <br /> transportation , according to the applicable regulations of the ^apartment 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 to a facility permitted by the State of California to 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 ,a <br /> GENERATOR SIGNATURE <br /> f 24 Hour Emergency Response Team : 1 - 800 - 45 & 7745 <br /> i <br />