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Customer E A#_ i'I <br /> Driver EPA CAL 91 53491 Date: y ?— 7 U/ / <br /> ./ <br /> CHP#CA88 40 State Manife t Docun ant# <br /> 2L 77 67 J� <br /> S CR M N O A T Of INVOI E N . 2 9 4 <br /> 4504 Dunn(Ai <br /> Ury ay • Sacr mCl,Men C 958 2 PAY ROM HIS I VOI E <br /> (9 <br /> Transporte s Regi tration flo:31 0 1 ) 49- 1 4 <br /> 1 Ne P/Ll ate: <br /> CO. NA E f � t {� HONE �U <br /> ADORE S I ) Z 'If <br /> CITY SATE 4 <br /> ZIP <br /> Ory DESC IPTI N <br /> PRI E TOT L <br /> /SG N n-RC H ardou Was e Liq d. Us d oil/ ixed oil. <br /> o Pla and re wired (221 /p r 0m <br /> al <br /> N n-RC A H ardo Was e Liq id. Us d ant-free <br /> / r <br /> o pla rd re wired (343 al `D <br /> N n-RC A H ardo Was e Liq id. Oil wat <br /> /p r u <br /> •.0 n3 <br /> T TA <br /> DES INAT <br /> I N O OIL <br /> R. .S. n D'Dixon n hermo luids n Ri rbank it Tra sfer <br /> 1 15 S. ver Roa 7000 evron ay 655S uth Sta ford Wa 5300 Cl us Rd. <br /> West acrameto,CA 5691 Dixon CA 956 0 Sp rks,NV 8431 Ri erbank, A 9536 <br /> D 044 003 556 CAT 0 0 012 6 2 N 982 510 711 <br /> AL 000 90 816 <br /> IMPORTA T NOT] E REG RDIN THE D SPOSI ION OF YOUR SED 0 L.FILE SE SI N AFT REA ING. <br /> Sacrament <br /> tions applic ble to anage ent of u ed oil, ut that i not re uired to omply ith the ore st agent r quirem Fits appl cable t hazard us was manta emeregun <br /> facilities.C lifornia acilities at han le or pr cess u ed oil a e requir d to m t thos more st ingent quirem Fits,an some ut-of-st to facilit as that rocess <br /> used oil als meet t ose re ireme s.Thes includ mores ringent ak det coon a d preve tion re firemen s,engi ering rtifcati Its of to k integ ty,and <br /> financial as urance for clo ure and accident I relea es. It is lawful t send u ed oil t out-of- ate fact ities tha comp) only wit fetlera used of manag meat <br /> standards nd not t ese moa string Fit requ rement . This n fificatio is for i formati n purpo es only. <br /> GENERAT)RS CE TIFIC ION: I ereby eclare t at the ntents f this c nsignm Fit are f Ily and ccurat ly descr bed ab a by p per shi ping na e, <br /> are classifi d,pack d,mar d, laba d,and re in al res ec in ro er contl tion for rants o b hi h a acc rdin t a lica le stat and fed Fal re lations. <br /> If I am a lar a quan ity gene tor, I c rtify th I have progr in pla a to re uce the olume Fid toxi ity of w ste gen rated t the de ee I ha a tlee fined <br /> to be econ mically ractica le and t at I he select d the p cticabl metho of trea eat,st rage,o dispos I curve ly avail ble to a which minimi z s the <br /> present an future Feat to uman ealth a the a ironme t;OR,llama mall qu ntity g erator, I have ade a g od fait effort t minimi my w ste <br /> anygenerated Fid Bele the b t waste manag meat m thod th tis ava table to a and hat I ca afford. I have t mixe any of a was descri ed abo with <br /> any other h z rdo w ste h h li i <br /> Of the appli ble C lifornia sed oil anage eat reg lations o deter in i is true. agree accep the ad tional c arges f r the di posal o this wa Is if the <br /> infornts <br /> mation I have ovidad hout s waste is incor . I he eby ce ify that in rmatio submi din thi and all attache docu Fits co tains tr and <br /> a curate escripti n of th waste. 11 relev Fit infor ation <br /> Gene ator's ignatur : r gag known r suspe ted haz r as ciated ith <br /> Con t Pers n. t waste has be disclo ed.I all o certify that I h ve not - <br /> ixed thi waste ith any ther w te.Ven a for p rposes <br /> LTransporter's Signature: �s <br /> under perjury that the foregoing is true and correct. lave <br /> Term net 10 days. Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fee will bo charged for returned checks. <br />