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- cn v = moo W _j� D 0 Ocn ° o - -- 1, 0') K) M = 2 D ID _ W (.0 U) Customer EPA It N r N Q O O Driver EPA KCAL 913534912 Dan- - stat:.i4, n C Ln O CHP tICA88940 C�) - o Z INVOICE NO. W SACRAMENTO WASTE OIL m o 4504 Dunnbury Way•Sacramento,CA 95842 PAY FROM THIS INVOICE 3 (916) 849-0144 Transporters Registration No:3130 Next P/U Date: CD 'N. CO.NAME PHONE T � ADDRESS O 3 CITY STATE ZIP N 09 O Ete� QTY DESCRIPTION PRICE TOTAL ,I9 191 Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /per 2Q No Placard required (221) gal on. ; � Non-RCRA Hazardous Waste Liquid.Used anti-freeze. /pergal fll "No placard required (343) D Non-RCRA Hazardous Waste Liquid.Oily water. /per O "No placard required (223) 0 D r O O O I N i O) TOTAL -� N ALT. DESTINATION OF OIL T F R.O.T. ZT S.K. R.E.S. DK Dixon 5300 Claus Rd. 6880 Smith Ave. 1515 S.River Road 7000 Chevron Way 655 South Stanford Way Sparks,NV 98431 Riverhank,CA 95367 Newark,CA 94560 ZT CAL 000190 816 CAD 980 887 418 West Sacramento,CA 95691 COixon,CA AT 080 092 602 NAV 982 510 711 cn CAD 044 003 556 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. Itcable to hazardous waste management O -porte to a at is red to y with with the more stringent requirements app Fn Sacramento Waste Oil hereby advises the generator that your shipment of u meet Ihosesed oil ymorebe rstringentansdrequirfemelntshand some out facilities That process tions applicable to management of used oil,but that is not required to comply facilities-California facilities that handle or process used oil are required tom with federal used oil management n O At and on nd accidental releases.It is lawful to send used oil to out-of-state facilities that comply only used oil also meet those require a ents.These include more stringent leak detection and prevention requirements.engineering certifications of Tank integn y, proper shipping name. financial assurances for closure applicable state and federal regulations. CD Q standards and not these more stringent requirements.This notification is for information purposes h hway according to app of waste generated to the degree 1 have determined GENERATORS CERTIFICke�Oabeledr anddarelan all that especls In proper Gonts Of nd do this consignment transport fully 9 accurately described above by p — are classified,packed.ma ram in place to reduce the volume and toxicity If I IM a large quantity generator,I certify that I have a prog generator,of I have made a good faithI?e was a descto ribed above with mica)) racticable and that I have selected the en[IOR,if method am a all quantity ty torage,or disposal currently x d any ofth a to me whminiich the requke e my `e (n to be econo Y P pCgs,I have complied with present and future threat to human health and the enethod t m and the waste does not contain any generated and select the best waste management method that is available to an and that I can affor O an other hazardous waste,the total halide content is LESS than 1,000 PP he information submitted in this and all attached the waste All relevant yCaliforniaused oil management regulations ton 1,e nine thiall ttrue.1 agree to accept the additional charges For documents the disposal of this wa of the applicable Ca certiry accurate description o information I have provided about this waste is incorrect.I hereby regarding known or suspected hazards associated `G the waste has been disclosed.ther waste.Venue for 11 Generator's Signature: mixed this waste with any of enforcement shall be in Sar,a Sef le and coned. Contact Person: under perjury that the foregoing Signature: 0 Transporter's Sig 24%per year)on accounts not paid within 30 days n o per month( O Term net 10 days.Finance charge of 2 e P ed for returned checks. Q � q$25.00 Fee will be charged T V D p0 W _ , c p +Charge O fp Rpv� PSSE CEZit yvFpCt1 tSy o p x Chac9e 7) rn �o3L N� s N r,EL p o_ O LrlLrIV v O O