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Customer EPA#_ =b ? Date: �' Driver EPA#CAL 913534912 State Manifest Docurnent# CHP#CA88940 INVOICE NO. I9 14 SACRAMENTO. WASTE OIL �I 4504,Runnbury Way • Sacramento, CA 95842 PAY FROMI THIS INVOICE (916) UMU4 transporters Registration No:3130 Next P/U Date: CO. NAME 2, PHONE ADDRESS CITY STATE e ZIP l i QTY DESCRIPTION PRICE TOTAL Non-RGRA Hazardous Waste Liquid, Used oil/mixed oil. 1pgr *No Placard required (221) 0a;,: Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per *No placard required (343), gal Non-RCRA Hazardous Waste Liquid. Oily water. /per t *No placard required (223) gal l TOTAL 3 DESTINATION OF OIL 7j R.E.S. --j DK Dixon i Thermo Fluids � tfbara Trans-ter ° < 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd. West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,;CA 95367 CAD 044 003 556 CAT 080 012 602 NAW 982 510 711 CAL 000 1190 816 IMPORTANT NOTICE REGARDING;THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. -ac.;ramento Waste Oil hereby.advises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal regula- r applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management 'ac akues.California facilities that handle or process used al are required to meet those more stringent requirements,and some out-of-st0te facilities that process used oti also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and j financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management I standards and not these more.stringent requirements.,This notification is for infonnation purposes only. GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to applicable stag and federal regulations. If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable,and that I have selected the practicable method of treatment,storage,or disposal currently available to ripe which minimizes the present and future threat to human health and the environment;OR,if I am a small quantity generator,i have made 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 waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management gulations to determine this is true. f agree to accept the additional charges for the dioposal of this waste if the g information I have provided abput this waste is ipcorre t.I hereby certify that all the information submitted in this and all attached documlents contains true and 1,r accurate description of die waste. „itant-irxrormatior;� Generator's Signature r regarding known or suspected hazards associated with the waste has been disclosed. I also certify that I have not Contact Person: mixed this waste with any other waste.Venue for purposes t of enforcement shall be in Sacramento County.I declare Transporter's Signature. under perjury that the foregoing is True and correct. I u Terra net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. A inti nn -L_-'.-