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PLEASE PAY FROM THIS INVOICE <br /> Customer EPA If t--.f- ``—""!� r Date { <br /> Driver EPA#CAL 91 3 53 491 2 State Manifest Document-# <br /> 1 ' <br /> CHP#CA88940 (� �\ <br /> � ', C'IoWaVo y <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144 /� <br /> Transporters Regiissttrrationn No: 33.130�t6 INVOICE NO.�Ii�2869 <br /> CO. NAMM yI r� C JI` .1 PHONE j! _1 <br /> ADDRES�S11 / " <br /> CITY1�y`��� STATE�-r�` zip <br /> CITY DESCRIPTION PRICE TOTAL <br /> 1 <br /> A Non-RCRA Hazardous Waste Liquid /per �' <br /> Gallons of used oil pumped out of gal <br /> Ify drums or tank. (2 1) <br /> Non-RCRA Hazardous Waste Liquid /per <br /> Gallons of used anti-freeze pumped gal <br /> out of drums or tank. (343) <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> I <br /> i <br /> DESTINATION OF OIL P.O.# Service Charge <br /> HES. <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 <br /> listed below to have the generator's 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 determined to be economically practicable. / /( <br /> Generator's Signature: <br /> Contact Person: <br /> Transporter's Signature .a 1 <br /> Term net 10 days.Finance charge of 2°%per month(24%per year)on accounts not flat hin 30 days. y <br /> A$25.00 Fee will be charged for returned checks. <br />