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Ramos Environmental Services <br /> 1515 South River Rd. <br /> PFP West Sacramento, CA 95691 <br /> (916) 371-5747 <br /> CAD044003556 <br /> SERVICE <br /> SERVICE ORDER ORDER NO. 171242 <br /> BILL OF LADING <br /> DATE - JOB NUMBER <br /> GENERATOR -/ �Q c S GENERATOR EPA# d4LODC) <br /> BILLING ADDRESS �9�o I"/1A-ae—/26 !" <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT �� CHECK NUMBER <br /> PHONE ��y����� P.O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> / I / HALIDES 4 DCN RPM. <br /> JOB DESCRIPTION pV Hyl+peU-d c:� O r ��UC C Ft, <br /> MATERIALS iA rY1c'�ZI f[JCI f /Y>t C' V ���YLL w <br /> START TIME /0 -��� <br /> F-1NONRCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# ARRIVE TIME // ' '0 <br /> NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# i <br /> LEAVE JOB % 5- a <br /> El U.S. DOT DESCRIPTION: <br /> STOP TIME -,-2::' � <br /> 7 (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. 0 ( okcl .4-4 --1 NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# & <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 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 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 (, <br /> GENERATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 J L;�0 .3J�' <br />