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02/19/2014 ➢IED 11: 14 FAX 2008/010_ / o.y Driver EPA KCAL 813694912 Date: State Manifest Document 0 O"P INECEIVED OK) C2' FE3 19 2014 SACRAMENTO WASTE OIL INVOICE NO. 22357 4504 Dunnbury Way a Sacramento, CA 05942 PAY FROM THIS INVOICE ENVIRONMENTAL SAL (916? $49-0144 Transporters Ra 1tw Next P/U pate: CO. NAME, 1 L A ..' . / PHONE : :a ADDRESS CITY.. �.. STATE ZIP < l, i.?s QTY DESCRIPTION PRICE TOTAL Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per I t' *No Placard required (221) gal Non-RCRA Hazardous Waste Liquid. Used anti-freeze, /par 1' *No placard required (343) ger Non-RCRA Hazardous Waste Liquid.Oily water, /per *No placard required (223) gal TOTAL —0► DEST N OF OIL in n E.S. I o DKDixon o Thermo Flulds o Riverbank 011 Transfer 1 S,River Road 7000 Cha ron way 655 South Stanford way 5300 Claus Rd, West c sntc,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,CA 95397 CAO 4 003 566 CAT 080 012 802 NAV 982 510 711 CAL 000190 ale IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL,PLEASE SIGN AFTER READING. Sacramento Waste 011 hereby advises the generator that your shipment of used oil may be tranepgrted to a facllby that Is required to comply with federal regula- tions applicable to management of used oil,but that is not required to comply with the mon stringent requirements appllcenle to hazardous waste management facilities.California f1 illOeB that handle or process used oil are required to meet those more stringent requirements,and some outrM�elets/adlldes that process used oil also meat those requirements.These Include more stringent leek detection and prevention requirements,engineering certifications of tank integrity,and gnenclel assurances for closure and accidents[releases,It Is lawful to send used oil to out-or-stale lecllllles that comply only with federal used WI management Standards and not these more stringent requiremenm. This noNfcai*/s thr Inf outuan purposes only. GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, sea cl ssp ped,marked,labeled,and are In eft reapecb In Proper condition for transport 4 highway according to applicable state and federal regulatlons. If I large quantity genafotor,I certify that I have a program In piece u5 induce the volume and toxicity Of waste gensrnted to the degree I have determined to be ocnnomfcally practicable entl that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the Present and future threat to human health and the environment;OR,If I am a smell quantity generator,I have made a good faith effort to minimize my waste generated and select the hest waste management method that Is available to me and that I can afford.I have not mixed any of five waste described above with any other:hazardous waste,the total halide content Is LESS than 1,000 ppm,and the waste does not contain any PCS8.I have compiled with the requirements of that applicable California used oil menagementmifutnNons to determine this Is true.I agree to accept the eddltlonal charges Iw the dispoael of this waste If the Information I have provided about this waste Is 10ccomect.I hereby darkly that all the Information submitted In this and all attached documents contains true and eccurale description of the waste.All relevant information Generator's Slgnaturs: <' regarding known or suspected hazards associated with Contact Person: the weals has been disclosed.18190 car0y that I have not mixed this waste with any other waste.Venue for purposes Transporter's Signature: of enfurcemsnt shell be In Sacramento County.1 dodare `�� under per)ury that the foregoing Is true and correct. Tann net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days_ A$25.00 Fee will be charged for returned checks.