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[ a <br /> l L{C C LIP <br /> Ramos Oil Rec clers Bill of Ladin <br /> 1515 South River Road <br /> West Sacramento,CA,95691 No: 22 0011013 <br /> Order Date: ,I 43 2Z <br /> Phone:(916)371-5747 Fax:(916)371-9312 Taken by: SF OYD <br /> Cust PO# Terr/May# Assumed Sales Cat. Cust.Code <br /> SAC HAZ ARCAM EPA ID# CAL000312652 <br /> Customer: ARCO AN"M-WOODBRIDGE Start Date: <br /> 18805 LOWER SACRAMENTO End Date: <br /> WOODBRIDGE CA-95256 <br /> Contact: HAPPI <br /> Job Phone: 209-339-8238 <br /> Bill To: ARCAM <br /> Job Location: 18805 LOWER SACRAMENTO Bill Type: Bill of Lading <br /> WOODBRIDGE CA -95256 Estimated Hours: .00 <br /> P.O.# <br /> Sched For: 220510(@,0800A00 <br /> S/C Type: HZDM <br /> Description: <br /> PU I*55 FLAM SOLID ��P � � <br /> DEL 1*55 lA2 __ <br /> H:6A-2P M-F <br /> SEE TAG FOR PRICING <br /> Materials: <br /> HALIDES PPM START TIME: <br /> —Non RCRA HAZARDOUS WASTE LIQUID,(USED OIL)CODE# ARRIVE TIME: <br /> Non RCRA HAZARDOIUS WASTE SOLID–LIQUID CODE# LEAVE JOB: �r_l Y 3 c> <br /> STOP TIME: I 0'..3,� <br /> _(USED ANTIFREEZE)NON RCRA HAZARDOUS WASTE LIQUID CODE# USED OIL FILTERS: <br /> MANIFEST NO. NO.OF GALLONS <br /> DRIVER'S SIGNATURE TRUCK# Z C,—c l <br /> t <br /> DESIGNATED TSDF:RAMOS ENVIRONMENTAL SERVICES.1515 S.RIVER Rd.WEST SACRAMENTO 9.5691 CAD 044003556 <br /> I HEREBY CERTIFY THAT I HAVE NOT YILXED THIS WASTE WITH ANY OTHER WASTE,AND TOTAL HALIDES ARE LESS THAN 1000 P.P.-M. <br /> This is to certify th€t 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 /> PAID BY: CASH /CHEC 6 /Credit Card <br /> GK S91� <br />