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cn v <br /> = E; E3 <br /> On <br /> W __q X- D <br /> 0 O cn ° o <br /> M J m o ID <br /> _ <br /> (.0 <br /> D <br /> Customer EPA# � Ul N <br /> - N CO <br /> Driver EPA#CAL 913534912 ' Date. _ _ Q O O <br /> CHP#CA88940 �` State Mandrsl Ilcc!rmenl rt C Ln O <br /> VOV�/CItiJO JI - _ - �C CZ <br /> C G <br /> INVOICE NO. <br /> SACRAMENTO WASTE OIL CD 0 <br /> 4504 Dunnbury Way-Sacramento,CA 95842 PAY FROM THIS INVOICE 3 <br /> (916) 849-0144 <br /> Transporters Registration No:3130 Next P/U Dale: _ CD <br /> CO.NAME <br /> - PHONE <br /> ADDRESS ------ - ----- — --- -- _ 0 <br /> - - - 0 <br /> - -- <br /> CITY STATE" -�� A. ,- <br /> O <br /> QTY DESCRIPTION PRICE TOTAL v <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /per C <br /> 'No Placard required (221) gal (A <br /> Non-RCRA Hazardous Waste Liquid.Used anti-freeze. /per <br /> E" <br /> 'No placard required (343) gal M <br /> 1! � <br /> Non-RCRA Hazardous Waste Liquid.Oily water. /per D <br /> *No placard required (223) gal 0 <br /> I <br /> D <br /> r <br /> 0 <br /> O <br /> O <br /> N <br /> TOTAL -,1 rn <br /> ALT. v <br /> DESTINATION OF OIL N <br /> R.E.S. DK Dixon T.F. R.0.7. S.K. <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, 95367 Newark.CA 94560 <br /> CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAL 0001919 0 816 CAD 980 887 418 S <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING.. <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 regu a- <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 O <br /> facilities.California facilities that handle or process used oil are required to meet those more stringent iegoiferbents,and sdme out-of-state facilities that process <br /> used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certificationsoftank integrity.an <br /> fA <br /> financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-slate facilities that comply only with federal used oil management O <br /> C7 <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 aecurately 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. Q <br /> If I am a large quantity generator, certify that have a program in place to reduce the volume and toxicity of waste generated to the degree I have detmizes ermined Q <br /> ethod of <br /> .or <br /> sposal <br /> to be <br /> present and ulture practicable and that I have selected the <br /> to hluman health and the environ ent practicable <br /> OR.if I am a small quantity generator I hlavve madera golon faith effort to minimize e to me which my above <br /> with <br /> S <br /> generated and select the best waste management method that is available to me and th and the waste doesat I can Onotdconta n any PCBs.I have not mixed al havey of complied with the requirements <br /> any other hazardous waste,the total halide content is LESS than 1,000 pp <br /> of the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for the disposal of this waste i the All relevant infomtalion <br /> Fn <br /> accurate description of the wasteC7 <br /> information I have provided about this waste is incorrect.I hereby certify that all the information submitted in this and all attached documents contains true an <br /> regarding known or suspected hazards associated with <br /> Generator's Signature: the waste has been disclosed.I also certify that I have not <br /> mixed this waste with any other waste.Venue for purposes <br /> Contact Person: of enforcement shall be in Sacramento County.I declare <br /> under perjury that the foregoing is true and correct. <br /> Transporter's Signature: <br /> Term net 10 days.Finance charge of 2%per month(24%per year <br /> on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks CD <br /> O <br /> „_ 2 ha ae 214960 0 w?.p0 Q <br /> 2225 GEN 5413 TONNs PERMIT 2 p Charge <br /> QOO 5gA2 p0 0 <br /> cQ 2226 GE 13425 TO PERMIT 2 ;Charge Charge 0AO 00 <br /> $139 <br /> �I 2227 GEN 2550 TGnNS PERMIT,? ? + rhQe 0.00—419 <br /> O_ O <br /> (J1 <br /> V v <br />