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genielitlRecycling <br />Pile's and nctbbothoods vi Sac^amento County <br />J <br />ACkAMENTO <br />COUNTY <br />County of Sacramento <br />Ken Pereira - Supervisor <br />Municipal Services Agency <br />Phone: 916-876-9458 <br />Department of Waste Management & Recycling <br />Main Office <br />9850 Goethe Road, Sacramento, CA 95827 <br /> <br />Phone: 916-875-6789 <br />Household Hazardous Waste Program - Customer Receipt <br />Resident <br />Ticket Number: 242 - Kiefer (received by pipest) <br />Disposer Information <br />Date & Time: 7/3/2012 831 AM <br />Material Unit Price Quantity Total <br />Latex Paint 52 60/gal 17.00 S44.20 <br />Admin Fee $27.70 <br />Total Cost: $71,90 <br />Total Due: $0.00 <br />Waste wit be collected at: <br />Kiefer Landfill <br />12701 Kiefer Blvd. Sloughhouse, CA 95683 <br />North Area Recovery Station <br />4450 Roseville Rd, Sacramento, CA 95660 <br />The below signature certifies that DWMR has received the above <br />listed materials from the Resident or CESQG listed above. <br />Signed: <br />Date. 7/3/2012 <br />State and Federal hazardous waste laws limit the use of household hazardous waste collection programs to households and those <br />businesses that generate less than 100 kilograms (about 27 gallons or 220 pounds) of hazardous waste per month and less than 1 <br />kilogram of "extremely hazardous waste" per month <br />Note: Pricing shown above is subject to change based on the actual costs incurred by the County Any pricing changes will be posted in <br />public view at least 30 days prior to becoming effective <br />Note: Current I-1HW Adrnin fee S 27.70 as of icily 1, 2012 (Adjusted annually pur,,,ant Io CPI prov,siol•,s of Efr-t ()lotion No 2009 0 7 04) <br />http://inside hh\‘collection.saccounty.net/receipt/defaultaspx?txid=242 7/3/2012