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I -SaRIMPO = 11VIFunrnentai cervices <br /> RECEIVED 1515 South River Rd . <br /> West Sacramento , CA 95691 <br /> AUG 2 7 2021 (916) 371 -5747 <br /> CAD044003556 <br /> ENVIRONMENTAL HEALTH SERVICE ORDER SERVICE <br /> nFpAATrnENT - BILL 0 F LADING ORDER N0. 181938 <br /> DATE <br /> JOB NUMBER <br /> GENERATOR ikC• GENERATOR EPA # CAL= ZP?50ay <br /> BILLING ADDRESS <br /> AMOUNT (IF ANY) I zT6 <br /> GENERATOR CONTACT CHECK NUMBER 2685 <br /> PHONE <br /> P. O. NUMBER <br /> JOB SITE ADDRESS CASH RECEIVED (amt.) <br /> HALIDES P. P. M . <br /> JOB DESCRIP . ION <br /> :.x 6 1 cn <br /> MATERIALS <br /> a <br /> NON RCRA HAZARDOUS WASTE LIQUID, (USED OIL) CODE # ` START TIME r � LS— <br /> NON RCRA HAZARDOUS WASTE. SOLID - LIQUID CODE # ARRIVE TIME <br /> F1 U. S. DOT DESCRIPTION: <br /> LEAVE JOB _ t ' `t <br /> STOP TIME_ / • q ' <br /> F] (USED ANTI-FREEZE) NON RCRA HAZARDOUS WASTE LIQUID CODE # USED OIL FILTERS <br /> *L DRUMS <br /> MANIFEST NO, 0 ;2 NO. OF GALLONS � ( r� <br /> �-ry— <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 forcement 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 3 3 �- <br />