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PLEASE PAY FROM THIS INvoTce <br /> Customer EPA#, j <br /> Date: <br /> Driver EPA#CAL 913534912 State Manifest Document# <br /> CHP#CA88940 ( <br /> �O WOoo — <br /> SACRAMENTO WASTE OIL .: <br /> 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144 �+ <br /> Transporters Registration No: 3130 INVOICE NO. C s 5 rb, .'' <br /> CO. NAME PHONE <br /> ADDRESS f <br /> CITY .>- <br /> ,... _ STATE f.."X.. ZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of used oil pumped out of /per <br /> drums or tank. (P21) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of used anti-freeze pumped /per <br /> out of drums or tank. (343) gal . <br /> Non-RCRA Hazardous Waste Liquid <br /> I Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> l <br /> f <br /> i <br /> i <br /> DESTINATION OF OIL P.O. # Service Charge <br /> 1515 S.River Road <br /> West Sacramento,CA 95691 TOTAL <br /> When using the consolidated manifesting procedure,Sacramento Waste Oil Services agrees with the generator 's <br /> listed below to have the generators hazardous waste transported to an authorized hazardous waste treatment <br /> facility for appropriate treatment. - <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have detenniried to 6e economically practicable. <br /> Generator's Signature: <br /> Contact Person: _ <br /> Transporter's Signature:- ---- <br /> Term net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00Fee will be charged for returned checks. <br />