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S (' , - Customer PA# Data: — Driver EPA CAL 9 353491 I Stat Manif st Docu en # CHP#CAS I ,t INV ICE N . 19 O 4 S C A EN O T O L 450 Dun bury Way Sac ame to, C 95 42 PAY RO THIS INVOI E (916) 49-0144 Transport rs Rea stratio No: 3130 N xt P/U ate: CO. NAME C( HON ADDFIE � CITY tlY ✓I TATE ZIP S QTY DES RIPT ON PR CE TOTAL on-R RAH izardo is Wa to Liq jid. Used oil mixe oil. / er No PI card r quire (22 ) al 4on-RRAHizardcjsWa5teLi id. U ed a i-fre e. er No pl card require (34 3) gal ur on-R RAH azardc is Wa 3te Lic uid. O ly wall r. er No plE card r quire (22 ) LZ Li ga 7r`7�7- 11 1 u G ZH DE TINA ION OF OIL o E.S. 0 DK Dix n Therm Fluid iverban c Oil Tr nsfer 1515 S. jeniver R d 7000 Chevro Way 655 South S nford ay 5300 laus Rd We Sacra to,C 95691 Dix n,CA 9 20 parks,N 98431 iverban c,CA 95 67 CAD D 4 003 5 6 CAT 80 012 602 AV 982 10 711 CAL 00 190 816 IMPORT IG THE F, D IL.PL ASE S GN AF ER R DING. Sacrame to West a Oil he by adv ses theenerat r that y ur ship allot sed oil ay be t ansport d to a f cility th t is req ired to moly ith fede I regula- tions app icable t manag mant o used of but th is not r quired 0 comp) with t more tringent require ants a plicable to naza dous w ste ma gement facilities. at ml faciliti s that h ndle or rocess sed oil are req !red to eat tho a more tringen require ants,s nd some out-of- tate fac lities th t process used oil Iso me those r quirem nts.Th se incl a mor stringe t leak d tection 3nd pre ention r quirem nts,en ineerin certifici tions of tank int grity,and financial ssuran es for c sure ai ases. It s lawful to send sed oil to out-o-state f cilities i at corri ly only%dth fede al used oil man gement standard and no these ore strii gent re uireme ts. This otificat n is fo informs ion pur uses o y. GENE TORS ERTIFI ATION I hi declar that th con an of this consign ant ar fully a occur telt'described a ove by roper s lipping ame, are classie pa 's m Mac, a Iwo a i If I am a r e u ntit orations. g q y ge erator, certify t at 1 he a pro am in ace to r duce t e volcm and to icity of aste g nerated to the d gree I ave dei rmined to be ec omical practi ble an that I h ve sale ted the practices le met od of tr atment,storage or tlisp sal curt ntly av ilabla io me whi h mini izes the present nd futur threat hums health nd the nviron ant;O if I am small uantity enerat r, I hav made good f th e. rt to mini ize my aste generate ands act the est wa a man ement ethod hat is a nilable mea that I an affo hav not mix d any f the w to des ibed a ve with any othe hazard as was ,the to al halid conten is L tan pp ,an wase oes no con ai any s. a e comp a ori rements of the ap licable aliforni used o I mans ment r gulatio s to det rmine t is is tru ogre to acc pt thea ditional charge for the isposal of this aste if the informati n I hav provitl ct.d about his we a is Inc meereby c rtify th all the nformat n sub fitted in his and II a charge tac ed doe mems mains rue and accurst descri tion oft a wast .All rel ant inf rmation Ge erator' Signal re: regard! g know or sus acted h zards Societe J with Cc tact Pe son: the we a has b ien dis osed. I Iso ce ft'that I lave not mixed t is wast with a other aste. nue for purposes Transporter's Signature: of enforcement shall be in Sacramento County. 1 declare under perjury that the foregoing Is true and correct. Term net 10 days. Finance charge of 29%per month(24%per year)on accounts not paid within 30 days. A$25.00 Fee will be charged for returned checks.