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,mer EPA# t i PLEASE PAY FROM THIS INVOICE _ ce: ver EPA#CAL 913534912 State Manifest Document# .;HP#CA88940 ECEI, VE.D SACRAMENTO WASTE OILR �ro�s 4504 Dunnbury Way • Sacramento, CA 95842 (916) 849-0144 ENVIR9N.WNTAL Transporters Registration No: 3130 INVOICEIM-TH t_)EPAlPTAAENT CO. NAME PHONE ( ) ADDRESS CITY STATE ZIP QTY DESCRIPTION PRICE TOTAL Non-RCRA HazardoWaste Liquid. Used oil/mixed oil. /per 'No Placard required (221) gal Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per `No placard required (343) gal Non-RCRA Hazardou 3 Waste Liquid. Oily water. 'No placard required (223) DESTINATION OF OIL P.O. # Service Charge F.E.S. 1515 S.River Road West Sacramento,CA 95691 TOTAL 3110- CAD 044003556 v ALTERNATIVES o C.W.I. o DK Dixon n Thermo Fluids 2430 lomond Dr. 7000 Chevron Way 655 South Stanford Way Silver Sp;ng, NV 89429 Dixon,CA 95620 Sparks,NV 98431 NAV 9 2 358 483 CAT080012602 NAV 982 510 711 IMPORTANT NOTICE REGARDING THE DI POSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. Sacramento Waste Oil hereby advises the ge erator 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, b t that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or pro ess used oil are required to meet those more stringent requirements,and some out-of-state facilities that process 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 accident I 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 requir men s. This notification is for information purposes only. GENERATORS CERTIFICATION: I hereby d clare that the contents of this consignment are fully and accurately described above by proper shipping name,are classified, packed, marked, labeled,and are ir all respects in proper condition for transport by highway according to applicable state and federal regulations. If I am a large quantity generator, I certify that 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 me 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 manager ient method that is available to me and that I can afford. I have not mixed any of the waste described a ove 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 re uirements of the applicable California used oil management regulations to determine this is true. I agree to ac- cept the additional charges for the disposal of his waste if the information I have provided about this waste is incorrect. I hereby certify that all the information submitt d in this and all attached documents contains true and accurate description of the waste.All relevant information regarding known or suspected hazards associ ted with the waste has been disclosed. I also certify that I have not mixed this waste with any other waste.Venue for purposes of enforcement shall be in Sacra ento County. I declare under perjury that the foregoing is true and correct. Generator's Signature: Contact Person: Transporter's Signature: Term ne 10 days. finance charge of 2%per month(24%per year)on accounts not paid within 30 days. A$25.00 Fee will be charged for returned checks.