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Dais: cL- DiMf) s12 stets MteYfecu et Document if ,✓ ' dFiP aCA9891"I'f " �` c l �,V�� C f V b 1 INVOICE NO. 22523 3 SACRAMENTO WASTE OIL 4504 Dunnbury Way a Sacramento, CA 95842 PAY FROM THIS INVOICE (916) 849-0144 ... r,--h-.-...r_., r.i... Dian Next P/U Date' 1 ri;151JOr101s:nOarsuaun, ,.... v,.... Z ,ri / PHONE CO. NAMeOR Ze ADDRESS 7 c.i STATE ZIP CITY QTY DESCRIPTION PRICE TOTAL Non-RCRA Hazardous Waste Liquid. Used OiVmixed oil. l v / gal 4 `No Placard required (221) Non-RCRA Hazardous Waste Liquid. Used anti -freeze. /per `No placard required (343) gal Non-RCRA Hazardous Waste Liquid. Oily water. /per 'No placard required (223) gal TOTAL DESIRiverON OF OIL E.S. o DK Dixon n Thermo Fluids o Riverbank Os Transfer 15Road7000 Chevron Way 655 South Stanford Way5300 Gaul Rd. Dixon, CA 95620 Sparks, NV 98431 Riverbank, CA 95367 WestSato, CA 95691 CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAL 000190 816 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL PLEASE SIGN AFTER READING. to a facility that is required to comply with federal regula- Sacramento Waste Oil hereby advises the generator that your shipment of used oil may be transported on, but that is riot required to comply with the more stringent requirements applicable to hazardous waste management tions applicable to management of used ' 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 also meet those requirements. These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and used oil financial assurances for closure and accidental releases. It Is Iawhul 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 Inkmhsron Purposes only. CERTIFICATION: I (hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, GENERATORS ars classified, packed, marked, labeled, and ars in all respects In proper condition for transport by highway according to applicable state and federal regulations. toxicity of waste generated to the degree I have determined If I am a large quantity generator, I certify that I have a program in place to (educe tihe volume and that I have selected the practicable msthcd of treatment, storage, or disposal currently available to me which minimizes the to be economically practicable and present and future threat to human heath and the environment; OR, if 1 am a small quantity generator, I have made a good faith effort to minimize my waste that I afford. I have not mired any of the waste described above with generated and select the best waste management method that Is available to me and can 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 any other of the applicable California used oil management regulations to determine this is true. I agree to accept the additional charges for the disposal of this waste if the information submitted In this and all attached documents contains true and information I have pmvKW a this waste Is inmrtect I hereby certify that all the accurate description of the waste. All relevant information 1 -. regarding known or suspected hazards associated with r—"-' Generator's signature: /� .._.. the waste has been disdosed. I also certify that I have not _ Contact Person: mixed this waste with any other waste. Vanua for purposes of enforcement shall be in Sacramento County. I declare Transporter's Slgnature� .! under perjury that the foregoing is true and conIll Term net 10 days. Finance charge of 2% per month (24% per year) on acmunus trach pati ^IU,„ I J.. UNIY . A $25.00 Fee will be charged for returned checks.