Laserfiche WebLink
- cn v <br /> :Z 6 <br /> W _j� D <br /> 0 Ocn ° o <br /> Iv Lit <br /> I- W C:) <br /> D <br /> = Customer EPA# N CD CO <br /> fy 51 N <br /> Driver EPA#CAL 913534912 - - Q N (9 <br /> Dale: '-1 ' O O O <br /> CHP pCA88940 O U) p <br /> C(� r7nn� State Maniles p --� (A z <br /> SACRAMENTO WASTE OIL INVOICE NO. O <br /> 4504 Dunnbury Way-Sacramento,CA 95842 PAY FROM THIS INVOICE <br /> Transporters Registration No:3130 (916) 849-0144 (D <br /> O <br /> Next P/U Date: _ <br /> CO.NAME <br /> PHONE ( O <br /> ADDRESS ` <br /> CITY N <br /> STATE C <br /> - _ZIP 1 <br /> CITY DESCRIPTION PRICE C <br /> ,I TOTAL N <br /> v'I Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. (n. <br /> by 'No Placard required (221) per r0 <br /> gal <br /> M <br /> Non-RCRA Hazardous Waste Liquid.Used anti-freeze. <br /> er 'No placard required (343) /per D <br /> D <br /> Non-RCRA Hazardous Waste Liquid.Oily water. /per 4# <br /> 9 'No placard required (223) gal <br /> Ir D <br /> - r <br /> 0 <br /> 0 <br /> 0 <br /> N) <br /> O) <br /> O) <br /> v <br /> TOTAL <br /> ALT. <br /> DESTINATION OF OIL 0 <br /> R.E.S. DK Dixon T.F. R.0.T. S.K. ZY <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 <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 /> to <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 regula- rn <br /> O <br /> lions applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management 0 <br /> facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-slate facilities that process 53. <br /> used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of lank integrity,and <br /> financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management Q <br /> standards and not these more stringent requirements.This notification is for information purposes only. <br /> GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, <br /> are classified,packed.marked,labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. <br /> 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 N <br /> to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to to which minimizes the <br /> present 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 minimize my waste W <br /> 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 <br /> any other I hazardous cable Califwaste,the edtoil amana eco nt regulationsI SS than <br /> n 1,000ine his is true.Wagree to acPPM cept the contain <br /> addit nal8charges fors I have otheldisposalwith tof this was eet th <br /> of the apand the aste does t documents p g <br /> s true and <br /> i <br /> nformationhave provided about this waste is incorrect.I hereby certify that all the information submitted in <br /> descrriptionlof he waste All relevant Informat on <br /> regarding known or suspected hazards associated with <br /> Signature: the waste has been disclosed.I also certify that l have nc <br /> mixed this waste with any other waste.Venue for purpos <br /> Person: of enforcement shall be in Sacramento County.l declare (DDunder perjury that the foregoing Is true and correct. Orter's Signature: a <br /> � Term net 10 days.Finance charge o(2%per month(24%per year)on accounts not paid within 30 days. 0 <br /> A$25.00 Fee will be charged for returned checks. _ �yH - <br /> CD v +Chaly` D 00 $ 5q Op <br /> (n .r 7 <br /> O_ C3 <br /> Cn <br /> V v <br /> tr <br />