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--7 :1 Customer EFA# 1 Date: Ddver EPA#3A6 013524912 State Manifest Document# y CHP#GA88MOAD INVOKE NO. 16192 SACRAMENTO WASTE OIL 4504 Dunrilaury Wray ® Sacramonfo, CA 95842 PAY FROM71-11118 INVOICE (916) 849-0144 Transroiter7 Registration No;91$0 ` Next P/U Date:• 00.NAME n )� � 11 ._ ` d PHONE LUA--j 34 AGGRESS M 5• � I 017( � STATE ZIP i OTY DESCRIPTION PRICE TOTAL u Nan-RCRA Hazardous Waste liquid.Used oil/mixed oil. /per *No Placard required (221) gal Non-RCRA Hazardous Waste Liquid.Used antifreeze. /per *No placard required (843) gal { Non-RCRA Hazardous Waste Liquid.Oily water. /per ' r.,, 'No placard required (223) gal UET� AUG 21215 tNTALrJCn �'V r\Cgn? Ic�1T TOTAL DESTINATION OF OIL n.E.s, o DK Dixon o Thermo Fluids 1515 S.River Road 7000 Chevron Way 655 South Stanford Way West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 I CAD 044003556 CAT080012602 MAV 982 510 711 j IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER RCADING. Sacramento 4Ya5te 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 au plioablo to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste m2rnagemenl i facilities.Galifomia facilities that handle or process used oil are required to meet those more stringent requirements,and some wi-of-state facilities that proces9 used ail also meet those requirements_These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful t4 send used oil to out-of-state facilities that comply only with federal used oil rnanegemant standards and not these more stringent requirements.This notification is forinformaHon purposes only. GENERATORS CERTIFICATION:i hereby declare that the contents of this consignment are fully and accurately desofted above by proper shipping name, are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. j if l 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 to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal Currently available to me whiOJI'minimlzes the present and future threat to human health and the environment;OR,if 1 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.I 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 usedoil man Ment regulations to determine this is true.I ogree,t4 accept the additional charges for the disposal of this waste if the information I have provided abo is as •incorrect.I hereby certify that all the information submitted In this and all attached documents contains true and accurate desotiption of the waste.All relevant information Generator's Slgnaturg regarding known or suspected hazards associated with the waste has been disclosed.I also certify that I have not Contact Person: mixed this waste with gny other waste,Venue for purposes of enforcement shall be in Sacramento County.I declare Transporter's Signa e: under perjury that the foregoing is true and Correct. TL r et 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. A$26.00 Pee will be charged for returned Checks. TL/Iri 30trd -1I0 31SVM 0iN3WV80VS Tb0097,860ZT 80:170 9TOZ/90/L0 'WT WTH QP)nVCCCn7 r7•{,n r'Tn7 Inn I)n 17 iAT�l