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- (n v <br /> = moo <br /> W _j� D <br /> 0 Ocn ° o <br /> INVOICE NO. <br /> M '—. N > n <br /> = Customer EPA a Z <br /> Driver EPA sCAL 913534912Date: 1 (� Al N r\) <br /> h <br /> CHP dCA88940 State Mandest DocumO O <br /> onl q <br /> (n (Jl O <br /> _ <br /> �_ N ZZ <br /> INVOICE NO. <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbu Wa m o <br /> rY y Sacramento,CA 95842 PAY FROM THIS INVOICE 3 C <br /> (916) 849-0144 <br /> el d Transporters Registration No:3130 <br /> Next P/U Date: (p <br /> 1I CO.NAME. <br /> a PHONE 1 <br /> 71 ADDRESS -1 O <br /> CITY 1 STATE <br /> ZIP N <br /> QTY DESCRIPTION O <br /> PRICE TOTAL v <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /per <br /> l 'No Placard required (221) gal <br /> l � <br /> Non-RCRA Hazardous Waste Liquid.Used anti-freeze. /per M <br /> No placard required (343) gal D <br /> Non-RCRA Hazardous Waste Liquid.Oily water. /per O <br /> 'No placard required (223) gal <br /> 0 <br /> D <br /> r- <br /> 0 <br /> O <br /> O <br /> N <br /> O <br /> TOTAL X N <br /> DESTINATION OF OIL <br /> 1 ALT. J ZT <br /> R.E.S. DK Dixon T.F. R.0.T. S.K. ZT <br /> 1515 S.River Road 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd. 6880 Smith Ave. <br /> West Sacramento,CA 95691 Dixon,CA 95620 Sparks,NV 98431 Riverbank,CA 95367 Newark,CA 94560 (n <br /> CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAL 000190 816 CAD 980 887 418 O <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. W <br /> 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 regul; (n <br /> tions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste managemer O <br /> facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that proce+ 0 <br /> e more stringent leak detection and prevention requirements,engineering certifications of lank integrity,ar <br /> used oil also meet those requirements.These includAl <br /> financial assurances for closure and accidental releases.It is lawful to send usey only with federal used oil managemen <br /> d oil to out-of-state facilities that compl0- <br /> standards <br /> standards and not these more stringent requirements.This notification is for information purposes only. ove by proper shipping <br /> GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described applicable state and federal reg atle <br /> are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to app' <br /> 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 determineZT <br /> economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes It <br /> and future threat to human health and the environment:OR,if I am a small quantity generator,I have made a good faith effort to minimizeed my waste <br /> id and select the best waste management method that is available to me <br /> ache waste does nd that I can afford. <br /> ot contain any PCBs.I havelhe complied with the equveme C7 <br /> hazardous waste,the total halide content is LESS than 1,000 pp .G <br /> I have California used <br /> about this s wastems ntcorrrrecttlons to I herebyetermine certify thatlalls he nforamal ongree osubmlteden this and lalhattached documents contains true a <br /> accurate description of the waste.All relevant informal <br /> regarding known or suspected hazards associated witl <br /> -)r's Signature: the waste has been disclosed.I also certify that I have <br /> mixed this waste with any other waste.Venue for purl <br /> +rson: / of enforcement shall be in Sacramento County.I deda cD <br /> under perjury that the foregoing is true and correct. n <br /> O <br /> s Signature: Q <br /> Term net 10 days.Finance charge of 2%per month(24°/per year)on accounts not paid within 30 days.ed for returned checks. o <br /> aD A$45.00 Fee will be charg41: <br /> (D <br /> O_ O <br /> (Jl <br /> V <br /> v <br /> Ln <br /> O <br /> O <br />