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E.P.A.#C kD 980694103CHP#2255559 E.P.A.CAL 930256136 • � • HAULER#0812 TAG # I /e Lube /o Ind a a CHICO DRAIN OIL SERVICE, L.L.C. , Since 1972 Date: u ' 530-345-9043 1618 W.5th S1-800-733-9043 SL Chico.CA 95928 Contact: Generator/Job Location Billing Information Name Name Address Address City State '" Zip City - State'-" Zip Phone -- - Zone Phone l Zt y I`i!G ;y u EPAID - Billing Method P.O. Customer Code . 'l1Lb I Product Number Waste code s Quantity Units Price Amount Used Oil/M zed Oil Nan-RCRA Hazardous Waste Liquid 221 GAL. Used Art Daze-Non-RCRA Hazardous Waste Liquid 343 GAL. 011 Water Mixed-Noh-RCRA Hazardous Waste Liquid 221 GAL._ Non-Haze ous Water N/A GAL. ' Oily Sludg -Non-RCRA Hazardous Waster Liquid 222 GAL. Drained Us ad Oil Filters N/A DRUM Noni Hazardous Waster(Solid-Liquid) Parts Wast er Service __ N/A N/A Hal Waste Drums(Empty) 'N/A DRUM Drum Deli ry N/A DRUM Disposal Drums _ N/A .DRUMS Transportation/Stand by N/A HRS. Other: U.S.D.O.TJ Description DRUM vVkxC r l_1mrii LF ilci�t�1 N.aS;3, vY.l frY43 a t k-t/M. Generator Certification:I hereby certify that I have not mixed this waste I further agree to accept the additional charges for legal disposal If `1 with any other waste,that the total Halides are less than 1000 PPM and the waste is over 1000 PPM total halides,or contains any PCB's. Initial that the waste does not contain PCB's. Clor-D-Tech Pass Fail PPM Per Test "`- .a` Total: Comments Total: _ TSDF Driver Signature Customer Signature-Read and Approved k I. WanluOd 51 �/. G` ytm•• Truck# 7 FORI Name / - r IFL ManlfestNumber• .�i / - "!� Date - /- Date " GENERATOR CERTIFIES THAT IT HAS A PROGRAM IN PLACE TO REDUCE THE IMPORTANT NOTICE REGARDING THE DISPOSI ION OF YO R USED OIL VOLUME AND TOXICITY OF WASTE GENERATED TO THE DEGREE IT HAS PLEASE SIGN AFTER READING DETERMINED TO BE ECONOMICALLY PRACTICABLE. WHEN USING THE CONSOLIDATED MANIFESTING PROCEDURE,CHICO DRAIN OIL SERVICES (used oil transporter)hereby advises AGREES WITH THE GENERATOR LISTED ABOVE TO HAVE THE GENERATOR'S (used ail generator)that (generator s)shipment of used oil may be HAZARDOUS WASTE TRANSPORTED TO AN AUTHORIZED HAZARDOUS WASTE transported to a facility that is required to comply with federal regulations applicable to TREATMENT FACILITY FOR APPROPRIATE TREATMENT _ management of used oil,but that is not required to comply with the more stringent INITIAL requirements applicable to hazardous waste management facilities.California facilities fetliricaL: 1fRecvc1ing that handle or process used oil are required to meet those more stringent requirement. CHICO DRAIN OIL SERVICE OFFERS PICKUP,TRANSPORTATION,AND and some out-of-state facilities that process used oil also meet those requirements. RECYCLING OF YOUR WASTE STREAMS,CHICO DRAIN OIL SERVICE ASSURES These include more stringent leak deadpan and prevention requirements,engineering THAT THE USED OIL,USED ANTIFREEZE,OILY WATER,DRUMMED WASTE AND certifications of tank integrity,and financial'essurances for closure and accidental USED OIL FILTERS WILL MEET OR EXCEED ALL EPS AND STATE OF CALIFORNIA releases.It is lawful to send used oil to odFof-state facilities that comply only with REQUIREMENTS. CHICO DRAIN OL SERVICE ALSO OFFERS VACUUM CLEANING federal used oil management standards and not these more stringent requirements. OF CLARIFIERS.PARTS WASHERS,AND SUMPS.YOUR HAZARDOUS WASTE NEEDS OF DRUM WASTE FROM RCRA TO OILY LIQUIDS AND SOLIDS CAN BE This notification is for information purposes only. MANAGED.CHICO DRAIN OIL SERVICE OFFERS A COMPLETE LINE OF ENVIRONMENTALLY SAFE PARTS WASHERS TO REPLACE OUTDATED SOLVENT (signed.Transporter)Date: MACHINES. (signed,Generator) Data: PAPER COLOR KEY WHITE-OFFICE YELLOW-TSD GOLDEN-CUSTOMER PINK-MANIFEST