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Nwe <br />PLEASE PAY FROM THIS INVOICE <br />Customer EPA tK, v - _ ; �! Date: <br />Driver EPA #CAL 913534912 State Manifest Document 1t <br />CHP #CA88940 <br />VOWO Q - <br />SACRAMENTO WASTE OIL <br />4504 Dunnbury Way • Sacramento, CA 95842 <br />- --- (916) 849-0144 /+ <br />INVOICE NO. C <br />1 ransponers neyisuaLIU!! 1���. � �• • - <br />r s - <br />CO. NAME i ! ` PHONE <br />ADDRESS -� <br />CITY ' c ��': - �'.,. STATE—. ZIP – – - <br />Ory DESCRIPTION <br />PRICE <br />TOTAL <br />Non-RCRA Hazardous Waste Liquid <br />/per <br />1 Gallons of used oil pumped out of <br />gal <br />q�� <br />drums or tank. (221) <br />Non-RCRA Hazardous Waste Liquid <br />/per <br />Gallons of used anti -freeze pumped <br />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 />DESTINATION OF OIL <br />nos. <br />P.O. g <br />Service Charge <br />1515 S. River Road <br />_ <br />West Sacramento, CA 95891 <br />TOTAL • <br />When using the consolidated manifesting procedure, Sacramento Waste Oil Services agrees with the generator <br />to an authorized hazardous waste treatment <br />listed below to have the generators hazardous waste transported <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:T--- — — --'- <br />Transporter's signatum:'-- <br />-------------- <br />Term net 10 days. Finance C $o <br />ge f 2% will month (24% be charged f per year) on amounts not paid within 30 days. <br />