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Customer EPA 1-0d4QdQOa21S Date: 7 a /U <br /> Driver EPA#CAL 913534912 State Manifest Document <br /> �# <br /> CHP#CA88940 00&(L 9 U t!1 57-�' <br /> C4 <br /> oO0 <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way• Sacramento, CA 95842 <br /> (916) 849-0144 g7 q <br /> Transporters Registration No:3130 INVOICE NO. .7 F <br /> i <br /> CO. NAME 2 /t>�SAS*K5'1'4 -S` PHONE^eqj) <br /> ��S dfs f <br /> ADDRESS 3132-Z r A11Z- 5QV k- <br /> • CITY STATE � ZIP <br /> i <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid <br /> • i Z/,j Gallons of used oil pumped out of su /per <br /> 7V drums or tank. (221) lG gal <br /> Non-RCRA Hazardous Waste Liquid /per <br /> Gallons of used anti-freeze pumped <br /> out of drums or tank. (343) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> i <br /> aF lX60 <br /> TT;" <br /> • _Qk was ►>J 1 0� T ( aJTti,.�b S t`av>vp <br /> o jTs l — OTS. t a�14�vL <br /> DESTINATION OF OIL P.O.# Service Charge <br /> PF6. <br /> 1515 S.River Road <br /> West Sacramento,CA 95691 TOTAL �► ft'' ,<_. <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 cerci at I have a prQgram in place to reduce the volume and toxicity of waste <br /> generated to the degree I have,. termined to be ecdpomically practicable. <br /> Generator's Signatures ` <br /> Contact Person: JJf <br /> Transporter's Signature: <br /> Tenn net 10 days.Finance charge of 2%per month(24%par year)on accounts not paid within 30 days. <br /> .. j A$25.00 Fee will be charged for returned checks. <br />