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Customer EPA#, / U v `t Date: _ _//9—676 - Z,,:"-It _ JA Driver EPA PGAL 913534912 StateManlfost Document 4 rrg GHP #GA86940 /?f INVOICE NO- 26859 SACRAMENTO WAT OIC. 4504 Dunnbury Way a Sacramento, CA 95842 PAY FROM THIS INVIOIOE "'916" 849-0144 IV ya) Transporters Registration No;3130 / Next P/U•Date: CO.NAME `�� )�°' PHONE= ( " } ADDRESS CITY T STATE ZIP QTY DESCRIPTION PEACE TOTAL Non-RCRA Hazardous Waste Liquid. Used oil/mixed ail. /per "No Placard required (221) gal Nott-RCRA Hazardous Waste Liquid.Used anti-freeze. /per `No placard required (343) gal 4 Non-RCRA Hazardous Waste Liquid.Oily water. /peri "No placard required (223) . gal AUG 21 201 TAS. W. al'ru n1=050-44 AIT TOTAL � DESTINATION OF OIL ALT. � o R,E,S. 0 DK Dixon o T.F. a R.0.T. 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 6300 Claus Rd. 6880 Smith Ave. West$00ramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,CA 95967 Newark,CA 94560 CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 GAL 000190 616 CAD 980 887 418 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEA5E SIGN A511fIER READING_ Sacramento Waste Oil hereby advises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal regula- tions applicable to management of used.oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management fooilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some nut-of-state facilities that process used oil 0169 meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank lnlegrlty,and financial assurances for closure and accidental releases.It is lawful to send used o1 to out-of-state facilities that comply only with federal used oil management standards and not these more stringent requirements.This notification is farinformatlon purposes only. GENERATORS Cr=f2TtrlCATION-I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are Classified,packed,marked,iaheled,and are in all respects in proper condition for transport by highway according to applicable slate and federal regulations. 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 dogrea I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future throat to human health and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generated and select the best waste management method that is available to me and that I can afford.l have not mixed any of the 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 PCBs.I have complied with the requirements of the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for the disposal of this waste if the information I have provided about tills waste is incorrec.I hereby certify that all the information submitted In this and all attached documents contains true and aceurat0 description of the waste,All relevant information Generator's Signature: G regarding known or suspected hazards aawoiated with the waste has been disclosed.I also certify that I have not contact Person: mixed tits waste with any other waste,Venue for purposes of enforcement shall be in Sacramento County.I declare Transporter's Signature under perjury that the foregoing is true and correct. Term net 10 days.Finance charge of 2%per month(240A per year)on accounts not paid within 30 days. A$25.00 Fee will be charged for returned checks. 10/10 3EjVd -1I0 31SVfll O1N3dOVS TVOOSZO6061 65:69 5I9Z/3040 j `UIT LITH QO/OCCCC(717 +,T:bra r.Tn7/Qn//fa M3AT'a`l�>h