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I Customer EPA# 1 3 " ` Date: > .,. a Driver EPA#CAL 913534912 '— State Manifest Docu nent# CHP#CA88940 "712 F 1 C: „ t INVOICE NO. 4 0 4 SACRAMENTO WASTE OHL 4504 Dunnbury Way • Sacramento, CA 95842 PAY FROM THIS INVOICE Transporters Registration No;3130 Next P/U Date: _ `7 CO. NAME � `� � � 41,el 449PHONE ADDRESS CITY STATS ZIPQTY 'k t DESCRIPTION PRICE TOTAL Non-RCRA Hazardous Wash Liquid. USed oil/mix oil. /per *No Placard required (221) gal I Non-RCRA Hazardous Waste Liquid. U anti-freeze. /per _ *No placard required (343) gal Non-RCRA Hazardous Wash Liquid. Oily water. /per *No placard required (223) gal I i TOTAL I DESTINATION OF OIL 7 R.E.S. o DK Dixon I Thermo Fluids -RiverbankOil Transfer 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 5300 Crus Rd. West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,i CA 95367 CAD 044 093 556 CAT 060 012 602 NAV 982 510 711 CAL 0001190 816 I IMPORTANT NOTICE REGAiWING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER REIyUiN.G. Sacramento Waste Oil herebyladvises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal regula- tions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process I used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and 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 standards and not these more;stringent requirements. This notification is for information purposes only. GENERATORS CERTIFICATN:I hereby declare that the contents of this consignment are fully and accurately described above by prpper shipping name, are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. If I am a large quantity generator,l certify that I have a program in place to reduce the volume and toxicity of waste generated to the deC ree I have determined to be economically practicaole and that I have selected the practicable method of treatment,storage,or disposal currently available to rr a 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 tq 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 compiled with the requirements of the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for the di posal of this waste if the information I have provided about this waste is i rr t.I hereby certify that all the information submitted in this and all attached documents contains true and tt accurate description of the waste.4 1,11 relevant information 4 Generator's Signature: _ _ regarding known or suspected haz 3rds associated with the waste has been disclosed.I alc o certify that 1 have not Contact Person: mixed this waste with any other wa ste.Venue for purposes Transporter's Signature of enforcement shpil,be in Sacramento County.I declare cF,_ ,...; ;,. . under perjury that the°fcre�oing Tai m net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days.