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RECL-1ED 07/06/2015 04:20 2093330736 AIM INC 1.17/06/20151i/04:05�/� 12098250041 SACFAMENTO l4ASTE OIL P(GEC 01/01 Customer EPA# V- ' i�om ( (r Date' -13 Driver EPA#CAL 913534912 State Maniffeest Do a en CHF'#CA8B940 l� a f7� 5 r�C�� Y INVOICE NO. 19028 SACRAMENTOIL 4504 Dunnbury Way o Sacramento, CA 95842 PAY FROM THIS INVOICE, (916) 849-0144 Transporters Registration No:3130 Next PX bate' CO.NAME ppqq -mt, -s PHONE LZOI J ADDRESS t,/ • CITY t STATE _ _ _ ZIP �� I QTY DESCRIPTION PRICE TOTAt.- � i Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /per *No Placard required (221) t gal Non-RCRA Hazardous Waste Liquid.Used anti-freeze. (per "No placard required (3113) gal NQn-RORA Hazardous Waste Liquid.Oily water. /per G",L 'No placard required (223) gal es., AUG 2 1 201 ENViRONME AI., UCt1rTV nCDpOrr CrIT TOTAL DESTINATION OR GAIL 0 R.E.S. o DK Dixon o Thermo Fluids Iverbanit Oil Transfer 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd. West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,CA 95367 CAD 044 003 556 CAT 080 012 602 NAV X82 510 711 CAL 000190 816 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL,PLEASE SIGN AFTER 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 rocdula- tions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste rnanagemenl facilities,California facilities that handle or pros®ss used oil are required to meet those more stringent requirements,and some out-of-state facilities that process usod oil also moat those requiremanis.These Include more stringent leak detection end prevention requirements,engineering certifications of tank integrity,and flnaaciat assurances for closure and accidental releases.It Is lawful to send used oil to out-of-stake facilities that comply only with federal used oil management standards and not these more stringent requirements.This nofification is for information purposes only. GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are clat$ified,packed,marked,labeled,and are in all respects In proper condition for transport by highway according to applicable state 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 dsgreo I have determined to be eoorwmloally praotk;iOle end that I have selected the pract(cable method of treatment,storage,or dicposot currontly available to me which minimizes the present and future threat to human health and the envlronmemt OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generated and satact the best waste management method that le&&Hale to me and that I can afford.I have not mixod any of tho waste described above with any other hazardous waste,the total halide cont" LF-SS than 1,000 ppm,and the waste does not contalo any PCSS,I have Wmpllod with ihQ rygUlrgrnantS of the applicable California used oil manag- I ul ions to d Amine this is true.I agree to accept the additional charges for the disposal of this waste if the Information i have provided about this waste In t.I halocertify that all the information s4bmiged in this and all attached documents C4ntain9 tru9 and 1 accurate description of the waste.All relevant Information Generator's Signature: regarding known or suspected hazards associated with the waste has been disclosed_I also certify that I have not Contact Per50n: mixed this waste with any other waste.Venue for purposes of enforcement shall be In Sacramento County.I doolare Trdnspbrter'ti Signature: under perjury that the foregoing is true and correct, Term 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.