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PLEASE PAY FROM THIS INVOICE <br /> Customer EPA L o) 27(!A Date:_, <br /> Driver EPA#CAL 913534912 StateIfeM eet Do�arme t M �6/O <br /> \� CYYY CHP#CA88940vG�oz <br /> ;)' <br /> C SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144 �+ p Uc� <br /> Transporters Registration No:3130 INVOICE NO. C 18 8 <br /> CO. NAME iJ _ a t` is 7'L-t.�1� PHONC�,Qrj) <br /> ADDRESS <br /> CITY LSTAT-- Y \' ZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of used oil pumped out of /per —4F::) <br /> drums or tank. (221) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> ra �j Gallons of used anti-freeze pumped /per <br /> out of drums or tank. (343) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> DESTINATION OF OIL P.O.If Service Charge <br /> 1515 S.River Road <br /> West Sacramento,CA 95591 TOTAL no <br /> When using the consolidated manifesting procedure,Sacramento Waste Oil services agrees with the generator <br /> Rated below to have the generator's hazardous waste transported to an authorized hazardous waste treatment <br /> facility for appropriate treatment <br /> Generator's Cartlllcation:I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determineci to be eco lcally practicable. <br /> Generator's Signature:�rj 3 ".`' ( <br /> Contact Person: <br /> Trenaporter'a alonenre .. <br /> Term net 10 days.Film,charge of 2%per month(24%per year)on eccounls not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. <br />