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Customer EPA# Date; 'f Onver EPA#CAL ill 3534912 State Maiiifest Dpqurriont CHIP#CABS940 INVOICE NO. 26792 SACRAMENTO. WASTE OIL 4504 Dunribury Way a Sacramento, CA 95842 PAY FROM THIS INVOICE (916) 849-0144 Transporters Registration No:31301 Next P./U Date: CO.NAME PHONE ADDRESS 4, CITY ' STATE Zip L OTY DE-SCROMON PRICE TOTAL Non-ACRA Haze r Jous Wiii Uquid, Used olliftbod all. /per *No Placard requi'ed (221) gal Non-RCRA HazarJOUS Waste Liquid. Used ant-trous. /per 4. *No Placard required (3'43) gal Non-RCRA Hazer Waste Liquid.Oily vieUr. /per `No placard requi� -'(223) gal 7 VIEG MAR 16 2015 MAL EAI,_TH I)0=121110TROCKIT TOTAL -0- ALT. DEST ON OF OIL X-S. -i DK Dixon Li T. F. R. O.T. S.K 151 RKw Road 17000 Chevron Way 655 South Stanford Way 5800 Claus Rd, 6880 Smith Ave, West n1o,CA 95691 Dixor,CA 95620 Sparks,W 98431 Riverbank,C."A 95367 Newark,CA 94NO :1=0 1003 W CAT 080 0-12 602 NAV 982 510 711 CAL 000 190 816 W 080 987 418 IMPORTANT NOTICE REGAR04NG THE DISPOSITION OF YOUR USED 014.PLEASE SIGN AFTER READING, ISeciorgrto Waste oil hereby advises the generator that your shipment of u$6d Oil may be transported to a facility that is!squired to comply with federal regu� .ticins applicable to management of used oil,but that is rotrequred to comply with the more stringent requirements applicab,e to hazardous WN!amanaga,nent 180196s.Callfomia faciliftlies;that handie or process used oil are required 0 meet those more stringent requirements,and some out-of-statefacilitiesthat process used Oil also meet those requirements.These include more stringent leek detection and prevention requirements,engineering certifications of tank intagr!ty,and jnenciaj assurances for closure and acclowtai releases. of-slate facililleg that comply only with federal used oil management It is lawful to send used oil to out and not these more stringent requirements. This notification.is for information purposes GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping ria", are I classified,packed,marked,labeled,and are in all;aspects in proper condition for transport by highway according to aopficable state and federal regulations. lf.1 am a forgo quantity generator,f cartify,that,I have a program in piece to reduce the volume ano toxicity of waste generated to the degree I have determined to be eocinofteafty practicable and that ave ;elected the practicable method of treatment,storage,or disposal currently available to me which minimizes the pment and futurt threat tc human heath{ the environment,oiR,if i am a small quantity generator,i have mads 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 wMe,the total halicle content is LESS than 1,000 ppm,and the waste does not contali any PCBs, I have complied with the requirements of the applicable Callforrlia used oil manNerrp9pt regulations to determine this is true.i agree to accept the additional charges for the disposal of this waste J the information I have provided about this woste i*Incorrwt-,j hereby certify that aN the Information submitted in this and all attached documents contains true and accurate description of the waste.All relevant Information Ganomtor's Signature, regarding known or suspected hazards associated with the waste has been disclosed, !also certify that I have not Contact Person: mixed IN3 Waste With any other waste Venue for purposes of anforr,*rrient shall be in Sacramento County.I declars Transporter's Signature: under polury that the foregoing Is true and cotmet, term net 1 0 d ys.Finance charge of 2%per njonth(2,4%;per year;on accounts not paid within 30 days, A$25.00 Fee WM bi M;.�X checks.