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i <br />PLEASE PAY FROM THIS INVOICE <br />Customer EPA # Date: <br />Driver EPA #CAL 913534912 State Manifest Document # <br />CHP #CA88940 (I <br />�of�00u <br />SACRAMENTO WASTE OIL <br />4504 Dunnbury Way • Sacramento, CA 95842 <br />(916) 849-0144 <br />Transporters 196gistration No: 3130 INVOICE NO. <br />CO. NAME PHONE ( ) <br />ADDRESS <br />CITY STATE ZIP <br />QTY <br />DESCRIPTION <br />PRICE <br />TOTAL <br />NonRCRA Hazardous Waste Liquid <br />Gal ons of used oil pumped out of <br />/per <br />drums or tank. (221) <br />gal <br />Non RCRA Hazardous Waste Liquid <br />Gall ns of used anti -freeze pumped <br />/per <br />out of drums or tank. (343) <br />gal <br />Non RCRA Hazardous Waste Liquid <br />allons of oily water pumped <br />out of drums or tank. (223) <br />DESTINATE.I N OF OIL <br />R. . <br />P.O. # <br />Service Charge <br />1515 S. Ri er Road <br />West Sacramen o, CA 95691 <br />TOTAL <br />When using the con olidated manifesting procedure, Sacramento Waste Oil Services agrees with the generator <br />listed below to hav the generator's hazardous waste transported to an authorized hazardous waste treatment <br />facility for appropriat treatment. <br />Generator's Certifi ation: I certify that I have a program in place to reduce the volume and toxicity of waste <br />generated to the de ree I have determined to be economically practicable. <br />Generator's Signa re: <br />Contact Person: <br />Transporter's Sign ture: <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 />