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Diesel Performance Record ID# PR0513781 July 22, 2019 Program: HW 2804 E Fremont St, Stockton, CA 95205 PHOTO 14: Most recent disposal record for used oil and used antifreeze to verify correct accumulation start date. - d (:ustomer EPnx _ (- 111'n/ CHP�GABaean S�slu Irle�nv.�Lu!,...., SACRAMENTO WASTE OIL PAY FROM THIS INVOICE 4504 Dunnbury Way•Sacramento,CA 95842 (916)849-0144 INVOICE NO, Transporters Registral�on No:3130 Next P/U 0=+te t CO.NAME a l-( + ADDRESS -- -.PHONE I_ �- CITY eTATE� z�P CITY DESCRIPTION PRICE TOTAL Non-RCRA Hazardous Waste Liquid.Used oil/miKed oil. /per 'No Placard required (221) gal ' r Non-RCRA Hazardous Waste Liquid.Used anti-freeze /per 'No placard required (343) gal Non-RCRA Hazardous Waste Liquid.Used oil with water /per 'No Placard required (221)>10%Water gal Non-RCRA Hazardous Waste Liquid.Oily water. s� 'No placard required (223) TOTAL--10' ALT. DESTINATION OF ALL LIQUIDS W. R.E.S. w.o.oron 20 Morgan 1515 S.River Read 7000 Chevron Way 1920 Morgan Rd Dixon.CA 95620 Ceres 95359 West Sacramento,5 95691 CAT 080 012 602 CAL 000 393 680 CAD 044 003 556 9e p p y lhlederalregUla- IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. l managemen l Sacramento Waste Oil hereby advises the generator that your shipment of used oil may be trans orted to a facilil that's required to comp Y ocess bons applicable to management or used oil.but that is not required to comply wish the more slnngenl requirements applicable to hazI-Stalardous wase t and facilities.Cal forms facilities that handle or process used oil are required to meet those more stringent regwremenls,a Ido Y wIh federal usedroe management fined,al aused oil ssurances for closure and accides ei,Nude moleisstringent to santl used oA to oection and prevention r ventioto cl9os!that wmpyeering ceded I ns of to^k'^lam°y' Sl' p ng name applicable state and ladelal regulaC+o^s. standards and not(hese more stringent requirements.This notilicahon is/or information purposes only. he roe 1 have determine GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by propel the are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to app waste It I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste gee ood faithteflon 10 mmm°Ze my with of the waste described above ants _ to be economically practicable and that I have selected the practicable method of treatment,storage.or disposal currently available to me which minimizes present and future threat to human health and the environment:OR,if I am a small quantity generator.I have made CBs 1 have opmPlle°with the reglt the Osat of this was te m.and the waste does not contain any ntains true and generated and select the best waste management method that is available to me and That I can afford I have not mixed any uirem any other hazardous waste.the local halide content is LESS than 1.000 pp _ with accurate edin description of the waste.All relevant infotmaUon of the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for the IsP regarding known or suspected hazards r ly that 1 have not information I have provided about this waste is incorrect.I hereby certify that all the information submitted in this and all attached documents raga 9 1 also — '� the waste has been disclosed l declare Generator's Signature: mixed this waste with any Other waste. CouVenue for purposes rrect. of enforcement perjury Mtsat`hbe o agoing s true andnCo n Sacramento Contact Person: � under perjury days. Transporter's Signature: 4%par year)on Term net 10 days.Finance ch e o Fee will be charged for returned checks, not paid within 30 Af45 Tricia Dai, EHS Page 14 of 15