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PLEASE PAY FROM THIS INVOICE PLEASE PAY FROM THIS INVOICE <br /> Customer EPA# aV f',j��!' Date: 7 ��d., ��f� Customer EPA lf L ! 9 r�!`7 Date: <br /> Driver EPA#CAL 913534912 State Manifest Document# Driver EPA#CAL 913534912 State Manifest Document#. <br /> CHP#CA88940 _eZ ',r? 11rc CHP#CA88940 Z�3 / ✓J�{ <br /> ��GJoOO �o�J�O� <br /> SACRAMENTO WASTE OIL SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way•Sacramento, CA 95842 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144 (916) 849-0144 <br /> Transporters Registration No: 3130 INVOICE NO. 9498 Transporters Registration No:3130 INVOICE NO. 9648 <br /> CO. NAME,eI �" t_ !N }1c.P �r�l� PHONE�{ � a_ ' _6] CO. NAME, ) 'C., f � j PHONE r( ' ) ��1 � <br /> r t tcC- �� <br /> ADDRESS •' .. •__s -c?.� �. �. ADDRESSt's ^S <br /> CITYi��' c STATE- ZIP �E CITY G' '^ STATE('/!) ZIP �a <br /> QTY DESCRIPTION PRICE TOTAL QTY DESCRIPTION PRICE TOTAL <br /> t <br /> Non-RCRA Hazardous Waste Liquid Non-RCRA Hazardous Waste Liquid <br /> :y Gallons of used oil pumped out of /per r /70 Gallons of used oil pumped out of /per E ` <br /> drums or tank. (221) gal drums or tank. (221) gal <br /> Non-RCRA Hazardous Waste Liquid Non-RCRA Hazardous Waste Liquid <br /> Gallons of used anti-freeze pumped /per Gallons of used anti-freeze pumped /per <br /> out of drums or tank. (343) gal out of drums or tank. (343) gal <br /> Non-RCRA Hazardous Waste Liquid Non-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped Gallons of oily water pumped <br /> out of drums or tank. (223) { out of drums or tank. (223) <br /> j <br /> i <br /> DESTINATION OF OIL 1 C DESTINATION OF OIL <br /> REs P.O.# Service Charge RES P.O.# Service Charge <br /> 1515 S. River Road 1515 S.River Road <br /> West Sacramento,CA 95691 TOTAL West Sacramento,CA 95691 TOTAL -* <br /> When using the consolidated manifesting procedure,Sacramento Waste Oil Services agrees with the generator fIf When using the consolidated manifesting procedure,Sacramento Waste Oil Services agrees with the generator <br /> listed below to have the generator's hazardous waste transported to an authorized hazardous waste treatment f listed below to have the generator's hazardous waste transported to an authorized hazardous waste treatment <br /> facility for appropriate treatment. facility for appropriate treatment. <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to be economically practicable. generated to the degree I have determined to be economically practicable. <br /> Generator's Signature: 1I Generator's Signature: <br /> Contact Person:_ { Contact Person: ; <br /> Transporter's Signature:_ /,,r✓.y- �r f .%*— �� Transporter's Signature: - <br /> Term net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. Term net 10 days.Finance chargeof 2%per month(24%#1ear)on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. A$25.00 Fee will be charged for returned checks. <br /> t <br />