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s <br />ttv1yy'JrJ <br />BILLING INFORMATION <br />Send Payment to: <br />P.O. Bok 1904 <br />Vacaville, CA 95696 <br />(800) 669 - TANK <br />JOB SITE <br />invoice <br />Inv. # 7140 <br />Date: <br />EPA #: CAD981694722 <br />NAME <br />NAME �a <br />PO# CASH CHECK <br />ADDRESS <br />ADDRES <br />CUSTOMER EPA ID # <br />d,... <br />CITY STATE ZIP <br />CITY STATE I ZIP <br />PROFILE # <br />C <br />PHONE # <br />PHONE # <br />CUSTOMER ID # <br />PRODUCT PROPER <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY. <br />UNITS <br />PRICE <br />AMOUNT <br />SHIPPING. DESCRIPTION <br />CODE <br />Non-RCRA Hazardous Waste, Liquid! <br />221 <br />4-4S f <br />GAL. <br />Used Oil <br />Non-RCRA Hazardous Waste, Liquid <br />134 <br />GAL. <br />Used Automotive Antifreeze <br />Non-RCRA Hazardous Waste, Liquid <br />223 <br />GAL. <br />Oily Water <br />Transportation <br />CHCS. <br />Additional Charges <br />Other: <br />GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are <br />transport by highway according to applicable state and federal regulations. <br />classified packed, marked, labeled, and are in all respects in proper condition.for <br />If I am a large quantity generator, 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 and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the <br />present and future threat to human health and the environment; OR I am a small quantity generator, I have made a good faith effort to minimize: my waste <br />the best waste management method that is available to me and that I can afford. I hereby certify that all the information submitted MANS and <br />generated and select <br />all attached documents contains true and accurate description of the waste: All relevant information regarding known or suspected hazards associated with the <br />waste has been disclosed. I also certify that I have not mixed this waste with any other waste. Venue for purposes of enforcernerit shall be IN solano County. 1 <br />declare :under perjury that the foregoing is true and correct. <br />IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <br />TTS Environmental Inc. hereby advises used oil generator that your shipment of used oil may be transported to a faellitythat is:regWired to comply with federal <br />regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste <br />oil. are required to meet those more stringent requirements; and some out-of-state <br />management facilities: California facilities that handle or process used <br />facilities: that.process used oil also must meet those requirements., These include more stringent leak detection and prevention requiramentsi e. h9lnsBring <br />certifications of tank integrity, and financial assurances for closure and accidental releases. It is lawful to send used,.oll to out-of=state facilities that comply with <br />only federal used oil management standards and not those more stringent requirements. This notification is for, in(ortnatlon purposeq ONY. <br />' Fail D PPM Lubricating Oil ` Industrial Oil.:&-_ <br />Test Pass [] <br />DISPOSAL/RECYCLING FACILITY: <br />Collection Station <br />(Industrjid <br />Agriculture <br />Government <br />Marine <br />1. Garris Environmental 2.. Industrial Oilsy Ramos Environmentaf 4. Other - <br />535 Industrial Circle 1291 Laverne Ave. (_ 1515 S. River Rd. <br />White City, OR 97503 Klamath Falls, OR 97603 Sacramento, CA 95667 <br />EPAN OR0000007781 EPA# ORD980980775 CAD044003556 <br />GOVERNMENTAL COMPLIANCE FEE: $ <br />Late Charge to all balances not paid within 30 days. Total Charges <br />I hereby certify that all the information submitted In this and all attached documents contains true and accurate descriptions <br />4 <br />of the waste. All relevant;:informat'to.,n regarding known or suspected hazards associated with the waste has been disclosed. E� C .0 <br />�.,.,.wr•�r,�u� ,� :._...s_ ..... _,a...._..__... .__._..__ ._._ _ _..Generator's Signature <br />