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PLEASE PAY FROM THIS INVOICE <br /> Customer'EPA 40A &23Q ells 9 Date: <br /> Driver EPA#CAL 913534912 State Manifest Document# <br /> - u CHP C#CA89940 - � _,Z C{ j 2 G 31 k <br /> f �oWo�o <br /> SACRAMENTO WASTE OIL <br /> 4504Dunnbury Way• Sacramento, CA 95842 <br /> (916) 849-0144 g <br /> _ Transporters Registration.No: 3130 INVOICE NO. 66-09 <br /> CO. NAM <br /> /V"t- PHONE - <br /> ADDRESS 6� 4I, R <br /> ' CITY !!j JI;; j<*" STATEZI ©�_ <br /> QTY DESCRIPTION PRICE TOTAI <br /> I � <br /> Nan-RCRA Hazardous Waste Liquid /per <br /> Gallons of used oil dumped out of gal <br /> drums or tank. (221) .' ,.•+CJ <br /> Non=RCRA Hazardous Waste Liquid /per <br /> Gallons of used anti pumped - gal = <br /> out of drums or tank. (343) <br /> Non-RCRA-Hazardous Waste Liquid <br /> Gallons of oil Ovate um ed <br /> t. ou of rums or taP <br /> n (223) <br /> DESTINATION OF OIL P.O,It Ser' ice Charge <br /> 1E S. <br /> 1515 S.River Road <br /> West Sacramento,CA 95691 - fi , OTAL -► E <br /> When using the consolidated manifesh Sa ante Waste on Services agrees with the generator <br /> listed below to have the.generator's hazardous waste transported toan authorized hazardous waste treatment <br /> facility for appropriate treatment <br /> Generator's Certification them <br /> I have�a .�Wjrrp oe.to reduce the volume.and toxicity of waste <br /> generated to the degree I have dete4 m ] be omwa^ <br /> i Generator's Signature: <br /> r: Contact Person: <br /> i` 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 /> l <br /> A$25=Fee will be charged for returned checks. <br />