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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.178153 <br /> BILL OF LADING <br /> DATE ` 1 JOB NUMBER <br /> GENERATOR C.l�(1_ I `� 's U- �t 1 I GENERATOR EPA# �- `ry <br /> BILLING ADDRESS <br /> AMOUNT(IF ANY) <br /> GENERATOR CONTACT a CHECK NUMBER <br /> PHONE �-t' % - + ' P.O. NUMBER <br /> JOB SITE ADDRESS _ ` �' -1 r ? - CASH RECEIVED (amt.) <br /> HALIDES P.P.M. <br /> JOB DESCRIPTION 1 <br /> 4' �...._1 F �... <br /> MATERIALS <br /> ❑ NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE# START TIME <br /> ARRIVE TIME <br /> ❑ NON RCRA HAZARDOUS WASTE. SOLID- LIQUID CODE# <br /> LEAVE JOB <br /> ❑ U.S. DOT DESCRIPTION: <br /> STOP TIME <br /> ❑ (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS DRUMS <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF: RAMOS ENVIRONMENTAL SERVICES. 1515 SOUTH RIVER RD. WEST SACRAMENTO 95691 CAD 044003556 <br /> 1 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 /> declare, under penalty of perjury that the foregoing is true and correct. ,l <br /> X <br /> GENEOATOR SIGNATURE <br /> 24 Hour Emergency Response Team: 1 -800-456-7745 <br />