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tLr) <br /> r-, <br /> Qutetrw EPA `�_f��r t�. r_' :.'. "'�e+* Q o <br /> Dl4 EPA#CAL 913534912 — -- E <br /> Date: <br /> CHP#CA88940 D / �©1 <br /> Q ., <br /> C h B It �l D :. aus� O O <br /> ra <br /> SACRAM NTO WASTE OIL INVOICE NO. <br /> 83 -1 <br /> O 4504 Dunnbury Way•Sacramento, CA 95842 PAY FROM THIS INVOICE 3: <br /> N Transporters Registration No:3130 (916) 849-0144 <br /> Ln <br /> (9) ext P/U Date: <br /> _.--' 00 <br /> -- <br /> Q ADDRESS PHONE--_ L -.`- 1 `=�!7 , <br /> ITY--- -- <br /> _ STATE Z3 <br /> QTYQ -- - -----= -__ZIPS C <br /> DESCRIPTION ------ aj <br /> O PRICE <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. TOTAL ° <br /> J `No Placard required (221) /per c <br /> _0 gal <br /> Non-RCRA Hazardous Waste Liquid.Used anti-freeze. 3 <br /> 'No placard required (343) /per +, <br /> gal _n <br /> Non-RCRA Hazardous Waste Liquid.Oily water. v <br /> U <br /> 'No placard required (223) /per P <br /> gal 4_ <br /> v <br /> U <br /> Q) <br /> m <br /> am <br /> O <br /> N TOTAL -i - <br /> QQ DESTINATION OF OIL ° <br /> R.E.S. ALT. U <br /> N 1515 S.River Road -1 DK Dixon T.F. -i R.0.T. S, <br /> 7000 Chevron Way 655 South Stanford WayL <br /> West Sacramento,CA 95691 Dixon,CA 95620 5300 Claus Rd. 6880 Smith Ave. v <br /> CAD 044 003 556 Sparks,NV 98431 Riverbank,CA 95367 Newark,CA 94560 a✓ <br /> (6 CAT 080 012 602 NAV 982 510 711 CAL 000190 816 CAD 980 887 418 j 3 <br /> V) IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. 0 ° <br /> � Sacramento Waste Oil hereby advises the qenerator that your shipment of used oil may be transported to a facility that is required to comply with federal regula- <br /> tions <br /> O <br /> lions applicable to management of used od,but that is not required to comply with the more stringent requirements applicable to hazardous waste management 'Un <br /> facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process E <br /> mO used oil also meet those requirements These include more stringent leak detection and prevention requirements,engineering certifications of lank integrity,and <br /> financial assurances for closure and accidental releases,11 is lawful to send used oil to out-of-state facilities that comply only with federal used oil management <br /> standards and not these more stringent requirements This notification is for information purposes only. <br /> GENERATORS CERTIFICATION:1 hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, (6 <br /> a1 <br /> are Gasified packed.marked,labeled and are in all respects in proper condition for transport by highway according to applicable state and federal regulations Ln <br /> L <br /> _ If I am a large quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined U <br /> U <br /> L to be economically Practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the <br /> ("6 Present and future threat to human health and the environment;OR,if I am a small quantityg 1 <br /> generated and select the best waste management method that ms available to mea d that I can afford I have notmixedof the effort <br /> described abovelwith � 0 <br /> any other hazardous waste.the rotal halide content is LESS than 1;000 4— <br /> of the appkcable California used oa maria Ppm,and the waste does not contain any PCBs.I have complied with the requirements <br /> 3 ° <br /> management regulations to determine this is true I agree to accept the additional charges for the di ° Q <br /> information I have provitled atwul tins waste is incorrect I hereby certify that all the information submitted in this and all attached documents contains Ire and <br /> nd <br /> N <br /> N Q <br /> Generator's Signature: -. "7171 accurate description of the wasto.All relevant information (JU � <br /> regarding known Or sus w <br /> e9 9 peered hazards associated with .7 <br /> Contact Person: the waste has been disclosed I also certify that I have not <br /> mixed this waste with any other waste Venue for purposes > <br /> Translwrter's Signature:. of enforcement shall be m Sacramento County I declare U <br /> _..-.-...__. C <br /> under perjury that the foregoing is true and correct M <br /> Tenn net 10 days France charge tll2%per month(24 o per year)on accounts not paid within 30 days. i a1 <br /> A$25 00 Fee will be charged for returned checks 4- N <br /> U <br /> aJ <br /> aJ 11A <br /> � 3 a <br />