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rr PLEASE PAY FROM THIS INVOICE <br /> Customer EPA# CUtr� t � Date: f <br /> Driver EPA#CAL 913534912 State Manifest Document# <br /> CHP#CA8 940 j;*o0� <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144 <br /> 8852 <br /> Transport rs Registration No:3130 INVOICE NO. I <br /> CO. NA E � 3 PHONE 7i ._t�` <br /> ADDRE S. r' -� <br /> CITY t STATEZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid /per <br /> L' Gallons of used oil pumped out of gal <br /> drums or tank. (221) <br /> on-RCRA Hazardous Waste Liquid <br /> Gallons of used anti-freeze pumped /per <br /> out of drums or tank. (343) gal <br /> on-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> DESTI ATION OF OIL <br /> H.E.S. P.O.# Service Charge <br /> 151 S.River Road <br /> West Sac mento,CA 95691 TOTAL �+ <br /> r I <br /> q <br /> When using tt is consolidated manifesting procedure,Sacramento Waste Oil Services agrees with the generator } <br /> listed below t have the generator's hazardous waste transported to an authorized hazardous waste treatment <br /> facility for app opriate treatment. j <br /> Generator's ertification:I certify that I have a program in place to reduce the volume and toxicity of waste 13 <br /> generated to he degree 1 have dejenmined to be ecogomically practicable. <br /> Generator's ignature:f ` C � 'f. <br /> Contact Per n: <br /> Transporter' Signatare: <br /> Term net 1 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 />