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08/06/2009 12:14 1209825 041 ALBERT—HERNANDE 16 PAGE 01/02 Customer EPA # PLEASE PAY FROM THIS INVOICE Date; IL( "' E,% �` Driver EPA #QAL 913534912 State Manifest Document # CHP C: 6q#CA88240 C63-7-7/` <�- - T`Tk 04D — SACRAMENTO WASTE OIL 4504 Dunnbury Way - Sacramento, CA 95,842 Transporters Registration No, 3130 00. NAME ADMESS CITY_ (91 US) 849-0144 INVOICE NO. 1535 STATE Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. *No Placard required (221) Non-RCRA Hazardous Waste Liquid, Used anti -freeze. *No placard required (343) Non-RGRA Hazardous Waste Liquid, Oily water. *No placard required (223) DESTINATION OF OIL RX.S. 1515 S. River Road West Sacramento, CA 95691 CAD 044003556 .-i G.E.SX, 01.0.1. 535 Industrial Circle 1291 Uverne Avenue White City, OR 97503-3027 Klamath Falls, OR 96703 ORO 000007781 ORD 980980775 ALTERNATIVES 0 C.W.I. 2430 Alornand Or, Silver Spring, NV 89429 PHONE (a.01, Q,—' J Or FIAM /per gal Service Charge o E.O.I. 6880 Smith Ave, NiBY18k CA 94560 ZIP. L o C.D.O. 1618 W. 5th $t. Chico, CA 95928 IMPORTANT NOTICE REGARDING THE DISPOSITION OP YOUR USED OIL. PLEASE SIGN AFTER READING, Sacramento Waste Oil hereby advises the generator that your shipment of used oil may ba transported to a facility that is required to Comply With federal ragVla. 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 requirements. These include more stringent leak detection and prevention requirements, engineering certifications of tank integrity, and financial assurnn,,c* for clo*urc and accidental releases. It is lawful to send used oil to out -of -slate facilities that comply only with federal used oil management standards and not these more stringent requirements, chis notification is fOr Offianation purpose -5 only. GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are classified, packed, marked, labeled. and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. If I am a large quantity generator, 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 methoci of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health and the environment: OR, ff I am a small quantity generator, I have made a good faith effort to minimize my waste generated and select the best waste management method that is available to me and that I can afford. I have not mixed any of the waste described above with any other hazardous waste, the total halide content is LESS than 1,000 ppm, and the waste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management regulations to determine this is true. I agree to ac- cept the additional charges for the disposal of this was the information I have provided about this waste is incorrect. " " t as I hereby certify that all the information submitt and all attached documents contains true and accurate description of the waste. Ali relevant information it a regarding known or suspected hazards 91;aso With the waste has been disclosed, I also certify that I have-not mixed this waste with any other waste. Venue for purposes of enforcement shall be in 8 ra a 6 County. I declare under perjury that the foregoing is true and correct. Generator's Signature: Contact Person: TrOOSporter's Signature: Term net 10 days. Finance charge of 2% PI;F month (24% per year) on accounts not paid within 30 days. A $26.00 Foe will be charged for returned checks.