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CL S l J� 1 St2t8 Mer+ifest�� t p 7 i F Q 0 D v > W w D u� �j p 1 (�r � I ' CD N ¢ purer EPA# �/Ullt/C��l� Date: O "S pGAL9135 942 to (•p 16 EPABE< State A+J•ary�esE t?ity N Go M Tl CSD ,;HP sG 940 r n D SACRAMENTO WASTE OIL PAY FROM THIS INVOICE 4504 Dunnbury Way• Sacramento, CA 95842 INVOICE No. 193CD (916) 849-0144 YTransporters Reglstra on No:3130 Next PIU Date: �• � 99 , 0 p ITy Co.NAME PHONE L,L;��f ADDRESS fn n CITY STATE ZIP l O "`TY PRICE PRICE TOTAL W Non-RCRA Hazardous Waste Liquid.Used ail/mixed oil. /per o 'No Placard required (221) gal n rT1 77 It - o > Non-RCRA Hazardous Waste Liquid-Used anti-freeze. /per 'No placard required (343y gal d Nan-RCRA Hazardous Waste Liquid-Used oil with water /per 'No Placard required (221) 10%Water gal Non-RCRA Hazardous Waste Liquid.Oily water. 'No placard required (223) y CD DE TOTAL 1111- L_J Z" POR DESTiNATiON OF ALL LIQUIDS ALT. Icran R.E.S. W.O.Dixon W.U.teres in- as a 1515 S.River Road 7000 Chevron Way 1920 Morgan Rd 71ib( West Sacramento,CA 95691 Dixon,CA 95620 Ceres 95358 sd r CAD 044 003 556 CAT 080 012 602 CAL 000 393 680 (�toric r>and APORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. r EN acramenla Waste Oil hereby advises the generator Ihat your shipment Of used oil may be Iransported to a facility that is required to comply with federal regula- p,e r ons applicable to management of used oil,but that is not required to comply with the more siring enl requirements applicable to hazardous waste management O1,- 30 lilies.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process b ised oil also meet those requirements-These include more stringent leak defection and prevention requirements.engineering certifications of tank integrity,and � re inancial assurances for closure and accidental releases It is lawful to send used oll to out-of-state facilities that comply only with federal used oil management e, itandards and not these more stringent requirements This nolifica tun is for informallon purposes only in 3ENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accuraial)ii described above by proper shipping name, if are class+[Od-packed.marked,labeled.and are in all respects in proper condition for transport by highway according to applicable slate and federal fegulalions. if I am a large quantity generator,i certify that I have a program in place Ip reduce the volume and toxicity of waste generated to the degree I have determined to be econom,cafly practicable and that I have selected the practicable method of treatment,storage-or disposal currently available to me which minimizes the present and future threat to human health and the environment;OR.it I am a small quanlily generalar.I have made a good faith effort to minimize my waste genera led and Select the hest waste management method that Is available Io me and Ihat I can afford.I have not mixed any of the waste described above with any othor hazardous waste,the total halide con len I is LESS than 1,000 ppm,and the waste does not contain any PCBs I have complied w,Ih the requirements c4 0 iof the applicable California used oil management regUI5%ns to determine this is true.I agree to accept the additional charges for the disposal of this waste if the p1 Q information f have provided abouthl§waste is,ncorrect,'I hereby certify that all the information submitted in Ihis and all attached documents contains true and 3 _ accurate description of the waste All relevant information f 0 Generator's Signature '� regarding known Or suspected hazards associated with the waste has been disclosed I also certify that I have not ;10Contact Parson: mixed this waste with any other waste Venue for purposes C CCrl SD CD of enforcement shall be in Sacramento County.I declare Transporier's Signature: w under perjury that the foregoing is true and correct CD (Q oin � W (pN N Term net 70 days Finance charge of 2%per month(24/par year)on accounts not paid within 30 days p N _P1 A$45.00 Fete will be charged for returned checks. O Cr fn 0 G)