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I I <br /> Customer A# ' 'J Date '-7' <br /> Driver EPA CAL 91353491: Stat Manife t Docu ant# <br /> CHP#CM 940 L Aff �riP6—1 <br /> INVOCENO. 1 824 <br /> SACRAMEND TE OI <br /> 4504 Dunr ibury Way Sac am t0, C 95 42 PAY ROM THIS NVOI E <br /> 1(916) 49 01 4 <br /> Transport rs Reg tratio No:3130 Ne t P/U ate: <br /> CO. NA v1 E a f! _ HON O`A <br /> ADDRE S D N <br /> CITY f^ TATE Z;? <br /> QTY DES RIPT N PRICE TO AL <br /> T <br /> on-R RAH ardo s Wa to Liq id. U ed oil mixe oil. / er � <br /> o Pla and r quire (22 ) al D <br /> m <br /> on-R RAH ardo s Wa to Liq id. U ed an:i-free e. / er <br /> o pla and r quire (34 ) al <br /> X <br /> t BA R 'RA W <br /> o pla and r quire (223 at <br /> I! <br /> I 0 3 014 <br /> niT <br /> - LOT) L <br /> DE TINA ION c F OIL <br /> E.S. o DK Dix n o Th rrno R jids <br /> 1515 S.River Rod 7000 Chevroi Way 655 So h Stanf rd Way <br /> Wes Sacram nto,CA 95691 Dix n,CA 9 20 Sparl s, NV 9 431 <br /> CAD,O 400355 i CA 080012 02 NAV 82 510 711 <br /> IMPORT <br /> Sacramei to Wast a Oil her aby adv ses the jeneratc r that yc it shipn ant of u 5ed oil r ay be it ansportrd to a fE cility th t is requ red to c)mply w th fader it regula- <br /> tions appl cable tc manag ment of used oil but the is not r iquired t comply with th more s tringent equiren ants ap licable o hazer Jous we its man gement <br /> facilities. aliforni facilitie that h nate or rocess sed oil re requ red to set tho a more tringen requires ants,a d som out-of- tate fact ities the process <br /> used oil a so meet those r quiremf nts.ThE as inclu is more stringer t leak dE tection i nd prevention r quiremf nits,enc nearing certific ions of ank inte grity,and <br /> fnarcial ssuran s for closure an J accide ntal rale ases.It &lawful o send 1 ised oil o out-of state fa tlities t t comp y only V ith fedei at used it manE gement <br /> standard and not these a ore smir gent rec jiremer ts. This 7ofificah n is for informs on pure ses on t. <br /> GENE IFI ATION: I hereb declarethat the content of this ons! n ant ar full an accura el des ribed a ova by ropers ipping ame, <br /> are clasLk <br /> a ed, me ked, la led,an are in II resp is in pr per co ition fc transp rt by hi hway a cording o applll able sta a and f deral re ulations. <br /> If I am au tity get stator, I certify t at I hav a prog am in p ce to r duce th volum and to icity of aste g erated o the d gree ve det rmined <br /> to be ecll practic ble and that I h ve sale ted the ractica le meth d of tre tment, torage,or disp al curt ntly av table to me whi minim zes the <br /> present r threat t huma health nd the nviron nt;OR if I am small uantity enerat , I have made a good fa h effort o mini ize my asts <br /> generate n hat I n affor . 1 have not mix d an o the wa to desc!bed ab ve with <br /> any otheus wast ,the to I hand conten is LES than 1, 00 pp and th waste oes no contain any PC s. I ha .comet d .vith he requ rements <br /> of the aaliforni used of manag ment r gulation to ine t is is tru . I agre to acc t thea ditional harge for the isposal f this ste if the <br /> informalprovide about his was is inc re reby c rtify I the 1 formats n sub tied in t is and II attac d doc ents ntains us and <br /> ccurat descri ion oft a wast All rete ant inf ation <br /> Ge ' Signat re: egardi know or sus ,ted h zards a sociate with <br /> Co <br /> he was a has b an disc sed. I Iso can that I ave not <br /> urposes <br /> Transporter's Signature: `���1-/ of enforcement shalt be in Sacramento County. I declare <br /> under perjury that the foregoinj is true and correct. <br /> Term net 10 days. Finance charge of 2%per month(24%per year)on accounts not paid within 30 dais. <br /> A$25.00 Fee will be charged for returned chpnkc <br />