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Customer E # <br /> Driver EPA# AL 91 34912 I Date: (on <br /> CHP#CA88 State anifes Docu ant# <br /> SA R M N O A TE 01 NVOI E N 2 438 <br /> 504 unn ury ay • Sacr men o, C 958 2 AY OM HIS I Vol <br /> Transporte s Regi tration No: 31 0 91 ) 8 9- 1 4 <br /> Nex P/U te: <br /> CO. NA E / ,rte cy <br /> r HONE <br /> ADDRE <br /> CITY <br /> S ATE ZIP <br /> OTY DESC IPTI N PRI E TOT L <br /> 100 N n-RC A Ha ardou Was e Liqu d. Us d oil/ ixed oil. /p r <br /> v ' o Pla srd re uired (221 al <br /> CID N n-RC A Ha ardo Was a Liq id. Us d ant-free / <br /> °' r o pla and re uired (343 <br /> al <br /> N n-RC A H ardo s Was a Liq id. Oil wat r. / r u <br /> .'� <br /> 4 r4 <br /> 3 014 <br /> 7T T L <br /> DES INAT ON O OIL <br /> o R E.S. o K Dixo o hermo Fluids o Ri erbank Oil Tral sfer <br /> 515S. iver Ro 7000 hevron ay 655 outh Sta ford W 5300 C us Rd. <br /> West scram to,CA 5691 Dixo CA 95 0 S rks, NV 98431 Ri/erbank,CA 953 7 <br /> CAD 04 00355 CAT 0 012 02 N V 982 5 0711 AL 000 190 81 <br /> IMPORTA T NOT E RE ARDIN THE ISPOSI ION O YOUR SED IL.PLE kSE SI N AFT R RE' ING. <br /> Sacramen as i e regula- <br /> tions appli able to anage cant of sed ail, ut that s not re uired t compl with th more s ingent Y 9 quirem nts at) ticable t hazer us wa a mans ement <br /> facilities. lifornia facilitie that ha die or p ocass ed oil re requi ed tum et rhos more nngent equiren ants,a d some ut-of-s to facili ies that process <br /> usetl oil al o meet hose re uireme ts.The a inclu more tringent leak de coon a d prey noon re uiremei ts,engi eering ertificat ons oft nk iota dty,and <br /> financial a suranc s for cl ure an accide tel rete ses. It i lawful t wend ed oil t out-of—tate fa lities th t comp) only w h feder used it mans ement <br /> standards nd not j1hese m re strip ant req firemen . This otificati n is fore formate n pure ses onl . <br /> GENERA ORS C RTIFIC TION: hereby eclare hat the ontent of this onsign ant are ully an accurst ly desc ibetl ab ve by oper sh Aping n me, <br /> are m a I =" f trans o b hi wa ac ordin a li ble stat and fe eral re lations. <br /> If I am a ge qua tit-gen rotor, I ertify th t I hav a progr min pl ce to re uce th volum and tox city of ste ge erated the de ree I h ve date mined <br /> pr be eco micall�ture pr--tic le and hat I ha a selec ed the ractica a meth d of tre tment, orage, r dispo al curve tly avai able to a whit minimi as the <br /> present a d future hreal t human ealth a d the a vironm nt:OR,if I am small q entity g nerato have ade a cod fai effort minim a my ste <br /> generated and sal ct the b st wast mans ement ethod t at is av itable t me an that I c n affor .I have of mix any o the we a descr bed ab a with <br /> any other h v com li d with t ere ui ments <br /> of the app itable C alifornia used oil man8gE ment re ulation to date mine th is true I agree to acce t the ad itional harges u. the d sposal f this w ste if the <br /> informatio 1 have )rovidec about tl iis wasti i is incoi rect. I h reby ce lify that all the i formati n submed in t is and I attach d docu antsd tains t send <br /> ccurate descrip on of th waste.All rela nt info ation <br /> Gen rator's ignat e: egardin known or susp cted he ards a ociate with <br /> e wast has b n disci sed. I a so certi that I ave notjk9k <br /> Con et Pe on: ixed th s waste with an other ste.V ue forurposes <br /> Transporter's Signature: . Clare J <br /> under perjury that the foregoing is true and correct. <br /> Term net 10 days. Finance charge of 2%per month(24%per year)on � is not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. <br />