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Customer EPA# Date: Driver EPA#CAL 913534912 State Manifest Document# CHP#CA88940 �� f/ �.r►°{.:..-`" j' 7 INVOICE NO. 41050 SACRAMENTO WASTE OIL 14504 Dunnbury Way • Sacramento, CA 95842 PAY FROM THIS INVOICE (916) 849-0144 Transporters Registration No:3130 Next P/U Date: CO. NAME PHONE ADDRESS a r .Z y <<-- CITY CITY STATE ZIP CITY OESCRIPTION PRICE TOTAL Non-RCRA Hazardou Waste Liquid. Used oil/mixed oil. /per *No Placard required (221) gal Non-RCRA Hazardouc, Waste Liquid. Used anti-freeze. /per *No placard required (343) gal Non-RCRA Hazardou Waste Liquid. Oily water. *No placard required (223) "" � '" �IVVIRUI'h?i�h;,,�LNEi�f:ih TOTAL DESTINATION O OIL ALT. R.E.S. DK Dixon T. F. R. 0.T. S. K. 1515 S.River Roa 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd. 6880 Smith Ave. West Sacramento,CA 5691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,CA 95367 Newark,CA 94560 CAD 044 00115 CAT 080 012 602 NAV 982 510 711 CAL 000190 816 CAD 980 887 418 IMPORTANT NOTICE REGARDINli THE DIS OSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. Sacramento Waste Oil hereby advises the gen rator 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,bu 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 requireme ts.Thesenclude more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances for closure and accidenta releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management *indprds and not these more stringent requir ments. This notification is for information purposes only. GENERATORS CERTIFICATION: I hereby de ]are that the contents of this consignment are fully and accurately described above by proper shipping name, are classified, packed, marked, labeled,and a in 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 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 elected 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 manageent 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 tots halide co: tent 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 oilanagem t regulations to determine this is true. I agree to accept the additional charges for the disposal of this waste if the information I have provided about th waste is incorrect. I hereby certify that all the information submitted in this and all attached documents contains true and accurate description of the waste.All relevant information Generator's Signature: 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 Transporter's Signature: of enforcement shall be in Sacramento County. I declare under perjury that the foregoing is true and correct. Term net 10 days. Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. A$45.00 Fee will be charged for returned checks.