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Customer EPA# .A i G(X n J=/ 1 PLEASE PAY FROM THIS INVOICE00 ate: /./� I��✓ Darer EPA#CAL 913534912 State Manifest Docu ant# CHP#CA88940Ok i+t SACRAMENTOWASTE 4504 Dunnbury Way • Sacramento : i r Transporters RegistratiorrNo:3130 (916) 849-01440 'INVOICE NO. 3 2 4 2 *y CO. NAME _� .� 1 %- }, (� J 0 PHONE ADDRESS V , CITY > i -DCI T O(\J STATE Z t QTY DESCRIPTION PRICE OTAL f Non=RCRA Hazardous Waste Liquid. Used oil/mixed oil. /p w W. "No Placard required (221) gal on-RCRA Hazardous Waste Liquid. Used anti-freeze. per, A. o placard required (343) , CRA Hazardous Waste Liquid. Oily water.. 1 card required (223) .w DES NATION OF OIL Service Charge :H r 1515 S.River Road' hest Sacramento,CA 95691 " CAD 044003556 TOTAL -0- { ALTERNATIVES; - n G.E.S.C. 01.0.1. �C.W.I. o E.O.I. f,,o C.D.O. , X535 Industrial Circle 1291 Laverne Avenue _ 2430 AlomondDr. 6880 Smith Ave. 1618 W.5th St. + hite City,OR 97503-3027 Klamath Falls,OR 96703 Silver Spring,NV 89429 Newark,CA 94560 Chico,CA 95928 v 6M'0000077811 ORD 980980775 , IMPORTANTPNOTICE REGARDING THE DISPOSITIO .z R USED OIL.PLEASE SIGN AFTER RING. Sacramento Waste Oil hereby advises the generator the hipment of used oil may be transportedto 'fsili"ty that is,required,fb,ius plyv;n ulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to a was efnent facilities.California facilities that handle or process used oil are required to meet those more stringent requirements and some ou tate fagil ti`s`u 'process use soil also meet those requirements.These include more stringent leak detection and prever l,�n requirements,engineering cern t tions �prr t nd .yf fnacial assurances for closure and accidental releases. Itis lawful to send used ail to out of-state facilities that comply only with to 'u' sten ards and not these more stringent requirements. This notification is forinformation purposes: *4 GENERATORS CERTIFICATION: I hereby declare that the coptents of this, onsignment aretttfli accurately descrild above by ngfi'ame are classified, packed,marked,labeled,and are in all respects in proper con for transport by highway according to applicable state a 8 bblaiions. If l am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste g, f 1ed.to t1�`a d gree I ha`'e;determined to be economically practicable and that I have selected the practicable method treatment,storage,or disposal curr h..ilable to e',w ``�i;esg present and future threat to human health and the environment;OR,if I am a sriSall.quantity generator I have t li effort .,este generated and select the best waste management met4od that Its available to me and that I can afford. I have not mixed any of the waste described above with any other hazardous waste,the total halide contenis L than 1,000 pprn s, 6es not contain any PCBs. I have complied with the requirements of-the applicable California used oil management 7egulations to determine t is:f �',,I agre"e-tT�:dc cepa the addifTonal charges for the disposal of this waste if the information I have provided about this waste is incorrect. I hereby certify that all the information submitted in this and all attached documents contains true and accurst tqewast All relava . Ipfk regarding known or suspected hazards asilociated with the waste has-been disclosed. I also certify that I hav 3 is we -wi an g:o^ for purposes of enforcement shall be in Sacramento County. I eclare under perjury that the foregoing is true ,d y9 y, Genera>:or's Signature: - .. -'.`• rrm Contact Person: /d .E.� "�.—� �rA011 , ' +: Transporter's Signature: ./ Term net 10 days.Finance charge of 2°l per month 24%per ear on accounts not . . days. Y 9 P r P year) �,,` 4 A$25.00�Kee willbecharged'for returned checks 7, t"''':