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Customer EPA# PLEASE PAY FROM THIS INVOICE Date: <br /> Driver EPA#CAL 913534912 State Manifest Document# <br /> ff <br /> CHP#CA88940 <br /> C <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way * Sacramento, CA 95842 <br /> (916) 849-0144 <br /> Transporters Registration No: 3130 INVOICE NO. 6606 <br /> -7 <br /> CO. NAME t/6 PHONE <br /> ADDRESS <br /> STATE j, ZIP <br /> CITY <br /> QTY DESCRIPTION PRICE TOTAL <br /> /per <br /> Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. <br /> *No Placard required (221) gal <br /> Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per <br /> *No placard required (343) gal <br /> Non-RCRA Hazardous Waste Liquid. Oily water. <br /> *No placard required (223) <br /> DESTINATION OF OIL P.O. # Service Charge <br /> R.E.S. <br /> 1515 S.River Road <br /> West Sacramento,CA 95691 TOTAL <br /> CAD 044003556 <br /> ALTERNATIVES <br /> :3 C.W.I. -i DK Dixon -i Thermo Fluids <br /> 2430 Alomond Dr. 7000 Chevron Way 655 South Stanford Way <br /> Silver Spring, NV 89429 Dixon,CA 95620 Sparks, NV 98431 <br /> NAV 982 358 483 CAT080012602 NAV 982 510 711 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <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 regula- <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 are required to meet those more stringent requirements,and some out-of-state facilities that process <br /> used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and <br /> financial assurances for closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management <br /> standards and not these 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,are <br /> 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 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 <br /> to be economically practicable 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 me and that I can afford. <br /> 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 <br /> 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 ac- <br /> cept the additional charges for the disposal of this waste if the information I have provided about this waste is incorrect. <br /> I hereby certify that all the information submitted in this and all attached documents contains true and accurate description of the waste.All relevant information <br /> regarding known or suspected hazards associated with the waste has been disclosed. I also certify that I have not mixed this waste with any other waste.Venue <br /> for purposes of enforcement shall be in Sacramento County. I declare under perjury that the foregoing is true and correct. <br /> Generator's Signature: <br /> Contact Person: <br /> Transporter's Signature: <br /> Term net 10 days. Finance charge of 2% per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks, <br />