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RECE—D 07/05/2015 Od:19 21793330736 AIM IFIL <br /> 107/015/2015 014:04 r 12090250041 SACRAMEf1TO WASTE OIL PAGE Ftl 01 <br /> Cu stcmer EPA 0 J t_(90 Q dna Date: 17 <br /> Or!vei EPA#CAL 913534912 State Manifest Document S <br /> CHP?CA88940 �f {� 1 Y,`. <br /> INVOICE NO. 2 rdi 2.4 2 <br /> SACRAMENTO ATE OIL <br /> 4504 Dunnbuty Way e Sacramento, CA 95842 PAY'FROM THl$.1N'Vojc.: <br /> (91 6) 849-0144 <br /> Transporters Registration No:3130 Next P/U Date; �y <br /> CO.NAME t PHONE ( 0 C' „i al.– <br /> ADDRESS <br /> CRR STATE ZIP <br /> QTY DESCRIPTION PEACE TOTAL <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /por <br /> "No Placard required (221) gal <br /> Non-RCRA Hazardous Waste Liquid. Used antifreeze, /per <br /> "No placard required ($43) gal ENan-RCRA Hazardous Waste Liquid.Oily water. /per <br /> `No placard required RA galAUG 2 1 2015 <br /> ENVIRQNM NTAL <br /> r\COgOT �CIt1T <br /> TOTAL <br /> DESTINATION OF GIF, <br /> o R.E.S. o DK Dixon o Thermo Fluids 'Riverbank Oil Transfer k <br /> 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd. II <br /> West Sacramento,CA 95691 Dixon,CA 85620 Sparks,NV 98431 Riverbank,CA 95367 <br /> CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAL 000190 816 <br /> IMPORTANT NOTIGI�PEGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. g <br /> 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 rsgula� s <br /> tions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management <br /> facilities,California facilities that handle or process used oil aro repaired to meet those more stringent requirements,and some out-of--state facilities that process <br /> used Gil also meet those requirements,These Include more stringent leek detection and prevention requirements,engInsoring certifications of tank integrity,and <br /> financlal assurances for closure And accidental releases.It is lawful to send used 011 to out-of-state facilities that comply only with federal used oil management <br /> standards and not thoso-more stringent requirements.This notification Is for Information purposes only. <br /> GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, <br /> are classified,packed,marked,labeled,and are In all respects In proper condition for transport by highway according to applicable state and federal regulations. <br /> If I am a largo 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 <br /> to be economically pfaotioable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the <br /> present and future threat 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 <br /> generated and select the best waste management method that is available to the and that I can afford.I have not mixed any of he waste described above with <br /> any other hazardous waste,the total halide content is LESS than 1,000 ppm,and ttie waste does not Contain any PCBe.i have complied with the requlrements <br /> of the applicable Callfornla used oil managelent regulations to determine this is true.I agree to accept the additional charges for the disposal of this waste If the <br /> information I have provided about is wall Is ect.I he"certify that all the information submitted in this and all attached documents oontalns true and <br /> accurate description of the waste.All relevant Infonrnallon <br /> Generator's Signature: regarding known or suspected hazards associated with <br /> the waste has been disclosed.I also certify that 1 have not <br /> Contact Parson: mixed this waste with any other waste.Venue for purposes <br /> Transport®r's Signature, "! of enforcement shall be In Sacramento County.I declare <br /> under per)ury that the foregoing is true and correct. <br /> Term net 10 dayA.Finance charge of 2 r month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fes wilt be charged for returned checks. <br />