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PLEASE PAY -FROM THIS INVOICE <br />Custom.,, EPA # Date: y <br />Driver EPA #CAL 913534912 State Manifest Document # <br />CHP #CA88940 > 72VI w, ,4 <br />C <br />SACRAMENTO WASTE OIL <br />4504 Dunnbury Way e Sacramento, CA 95842 <br />(916) 849-0144 <br />Transporters Registration No: 3130 INVOICE NO. 8-763 <br />CO. NAME PHONE <br />ADDRESS <br />CITY STATE ZIP 2 <br />CITY <br />DESCRIPTION <br />PRICE <br />TOTAL <br />Non-RCRA Hazardous Waste Liquid <br />Gallons of used oil pumped out of <br />/per <br />drums or tank. (221) <br />gal <br />Non-RCRA Hazardous Waste Liquid <br />Gallons of used anti -freeze pumped <br />/per <br />out of drums or tank. (343) <br />gal <br />Non-RCRA Hazardous Waste Liquid <br />Gallons of oily water pumped <br />out of drums or tank. (223) <br />DESTINATION OF OIL <br />F.E.S.P.O. <br /># <br />Service Charge <br />1515 S. River Road <br />West Sacramento, CA 95691 <br />TOTAL <br />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 <br />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 <br />generated to the degree I have determined to be economically practicable. <br />Generator's Signature: <br />Contact Person: <br />Transporter's Signature: <br />Term net 10 days. Finance charge of 2% per month ($4% per year) on accounts not paid within 30 days <br />A $25.00 Fee will be charged for returned checks. <br />