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Customer EPA#C 1_000 Jd� Driver EPA#CAL 913534912 `-� , � Date: '� Id -� CHP#C S to Manifest Document# I AC A E T S E IL IN DICE O. 1 0 4 45 4 Dunnbu Wa • S cram 111`0, A 9 842 P FR M TH IN ICE Trans Iters R ( 16) 84 .0 44 P gistra on No:3130 ext P/ Date CO. ADD ESS U / CITY STA z Z O DE CRI TION RICE T TAL - r u ul I 1 01 . 'No lacard requir d ( 21) per tu gal Non- CRA azar ous aste quid. sed nti-fr eze. 'No lacard requir d ( 3) /per gal Non- CRA azar ous aste quid. ily w ter. o acar requir /per ga, 1l � F NOV 3 2 14 TO AL n D STIN TION OF O X R.E.S. OK Di on o Ther 10 Flui s Riverb nk Oil ransfe 1515 .River oad 70 0 Chevr n Way 6 5 South 'tanford Way 530 Claus d. m (DW st Sacr mento, A 9569 Di on,CA 5620 Sparks,NV 984 1 CAD 44 003 56 C 0800 2 602 NAV 98 510 711 CAL Rink, 9 367 0) CAL 00 190 16 m POR ANT N TICE I -GARDING TH DISPOSITION OF YO1 JRUSE OIL. a LEASE IGN A TER R ADING acra nto We 5te Oil reby a Ivises 11i gener for that our shi ment to used of may to transp ed to facility at is re uired V comply with fed rat regula- tions a plicable o man gement f used i1,butt at is no require to oo ly with he mor strings t requir ments pplicab a to ha rdous i este m nagement facilitie .Califor is facili les that andle r proce used ii are re wired t meet t se mo string nt requi ements and so a cut-c-state f cilities t at process used of also m et those require sots. ese in ude mo a string nt leak eteotio and pr ventio require sots,a gineeri g certifi ations f tank i egrity,and financi assure ice for losure nd acct ental r leases. t is Iawf il to ser J used 4 iil to out of-state facilities that co ply on1 with fe era[use oil ma iagement standai Js and r of thes more sl ingent quirem nts. Th s notific tion is r inforn ation pt poses inly. GENEF ATORS CERTH ICATIO : 1 here Dy dei re that t ie conte its of th s const nment re fully nd acc rately d scribed bove It 1 proper shippingname, are cls sifted,p eked, arked,I beled, nd are all res ects in roper ndition or tra1, ort by ighway ccordi g to ap licable Feer to and federal egulations. If I am large q jantity C aneratoiI certit that I h ve a pr, gram in place tc reduce the volu ne and oxicity, waste jenerat d to the Jegree have d termined to be a onomic illy prac cable a id that I iave se ected t1i e prectic able m hod of 1eatmer storag i.or die osal cu rentty a stable to me wt ich mini nizes the presen and full re three to hum in heap i and th enviro menta C R.if I ar i a smal quantit gener or,I r a made a good aith eft I to min mize m waste genera d and elect th best w ste ma agent t metho that is vailabl to me nd that can an` rd.I ha,e not m xed an of the Bete de cribed bove with any oth Bir hazer Jous wa ste,the otal hal Je come Fit is LESS than 1,000 P1 m,and he west does i of conte in any P D13s.I h ave coff Died wit I the re uirements of the plicabl Califor iia used oil man gement regulations to d termine this is ti us. I al Be to ac ept the addition il charg is for th t dispos il of this waste if the inforing ion I he ee provi ed aboi t this w ste" orrect. hereby certify Ill at all th inform tion But mitted i this an I all alta hed do uments contain true and accur to desc iption ol the wa te.All re event ir Formation Gii nerato 's Stgn tures regarc ing kno n or su petted iazards associa ed with C ntact P rson: thew ste has Deen ch closed. also Ge lify that I have not mixed this wa to with y othe waste. enue f r purposes Tr nsport is Sig ature: o en rceme s a In ac men o oun declare under perjury at the regotn is true nd torr ct. Ter net 10 ays. Firante c ergs of %per onth( T.per ear)on or s not p d withi 30 dayi. A 25.00 ee will a charg d for i urned ecks.