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Ramos Oil Rec clers Bill of Lading <br /> 1515 South River Road <br /> West Sacramento,CA 95691 No: 21-00 7064 <br /> Order Date: <br /> Phone:(916)371-5747 Fax:(916)371-9312 Taken by: SFLOYD <br /> Cust PO# Terr/Maa# Assigned Sales Cat. Lust.Code <br /> SAC RAZ CTYWID EPA ID# CAL000436229 <br /> Customer: CITY RISE INC. Start Date: <br /> 686 E LOCKEFORD ST. End Date: <br /> LODI CA 95240- <br /> Contact: ZUBAIR <br /> Job Phone: 209-327-2342 <br /> Bill To: CTYWID <br /> Job Location: 686 E LOCKEFORD ST. Bill T e: Bill of Lading <br /> LODI CA 95240- Estimated Hours: .00 <br /> P.O.# <br /> Sched For: 210910@0800A00 <br /> S/C Type: UO <br /> Description: <br /> PO 80G UO (j 3 , D-e(4,4 rz" <br /> PU 1*55 OS <br /> DEL 1*55 IA2 <br /> H:6A-2P M-F <br /> ASAP 'IS <br /> Materials: <br /> kHAn <br /> LIDES<IPPM <br /> START TIME:RCRA HAZARDOUS WASTE LIQUID,(USED OIL)CODE# 4eZ I ARRIVE TIME: ' <br /> Non RCRA HAZARDOIUS WASTE SOLID—LIQUID CODE# LEAVE JOB. <br /> STOP TIME: <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS: <br /> MANIFEST NO. / O�`�� NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES. 1515 S.RIVER Rd.WEST SACRAMENTO 95691 CAD 044003.556 <br /> I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,AND 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 transportation,according <br /> 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 to be <br /> economically practicable.Ramos agrees with the generator to send all their hazardous waste to an authorized hazardous waste treatment facility via Ramos' <br /> 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 unpaid balances.The customer agrees to pay reasonable costs <br /> 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 /> Generator Signature: <br />