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Ramos Environmental Services <br /> pppppp 1515 South River Rd. <br /> West Sacramento, CA 95691 <br /> (916) 37' <br /> CAD044 <br /> 1 �� 7�� j�] , VICE <br /> SERVICE ER NO. 17 5 2 5 8 <br /> BILL OF a (y ►'�'�t� e: <br /> DATE <br /> GENERATOR - t ' , GENERATOR <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT CHECK NUMBER <br /> PHONE t " r P.O. NUMBER <br /> JOB SITE ADDRESS C — •� CASH RECEIVED (amt.) <br /> C� �3 HALIDES _1�22r� P.P.M. <br /> JOB DESCRIPTION u [ c• <br /> J <br /> MATERIALS <br /> F] NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# _ START TIME .r"!v� <br /> ARRIVE TIME <br /> NON RCRA HAZARDOUS WASTE. SOLID-LIQUID CODE# <br /> 00 <br /> U.S.DOT DESCRIPTION: LEAVE JOB � { <br /> STOP TIME��_ O <br /> (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> q Cl MANIFEST NO. `A, ' 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 <br />