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{i 1 Customer EPA# Date. Driver EPA'#CAL 913534912 State Mafest Document# H x -CHP#CA88940 INVOICE NO. J 1 I SACRAMENTO WASTE OIL 4504 Dunnbury Way • Sacramento, CA 95842 PAY FROM THIS INVOICE I Transporters Registration Nod 3130 Next P/U Date: i CO. NAME z -, ��f PHONE ( ._ ADDRESS - l I CITY ( r;k STATE_ t ZIP 3 OTY DESCRIPTION PRICE - TAL . Non-RCRA Hazardous Wash Liquid. Used oiilmixed oil. /per .� *No Placard required (221) gal 3 Non-RHazardous Waste Liquid. Used anti-freeze. /per *No placard required (343), gal Non-RHazardous Waste Liquid. Oily water. /per l *No placard required (22 ) gal s ESTI T SOF OIL I i o DK Dixon �Thermo Fluids o Riverbank Oil Transfer ; 1515 S.Rivor Road 7000 Chevron Way 655 South Stanford Way 5300 Cl s Rd. West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,SCA 95367 CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAL 000,'190 816 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. Sacramento Waste Oil hereby,advises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal regula- tions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those requigements.These include more stringent leak detection and prevention requirements,engineering certificatigns of tank integrity,and financial assurances for closu and accidental releases.It is lawful to send used oil to out-of-state facilities that comply only with federate used oil management standards and not these more stringent requirements. This notification is for information purposes only. i 1 GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by p6per shipping name, are classified,packed,marked,,labeled,and are in all respects in proper condition for transport by highway according to applicable stat'and federal regulations. If I am a large quantity genera or,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically 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 hu n health and the environment;OR,if I am a small quantity generator,I have made a good faith effort td minimize my waste generated and select the beat livaste management method that is available to me and that I can afford.I have not mixed arily ref Lhe was,"scribed,above with any other hazardous waste,th�total halide content�is LESS than 1,000 ppm,and the waste does not contain any PCBs.1 have compliedwith the requirements of the applicable California us(d oil management*t49 ions to determine this is true.I agree to accept the additional charges for the disposal of this waste if the information I have providedut is waste is i eft.I hereby certify that all the information submitted in this and all attached docum nts contains true and ,f accurate description of the waste.All relevant information Generator's Signature. regarding known or suspected haz irds associated with the waste has been disclosed.I al certify that I have not Contact Person: mixed this waste with any other we te.Venue for purposes of enforcement shall be in Sacram nto County.I declare Transporter's Signature; under perjury that the foregoing is ue and correct. Te net 10 days.Finance charge of 2°o per month(24%per year)on accounts not paid within 30 days.