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Customer EPA # Date: Driver EPA #CAL 913534912 ® State Manifest Document # CHP #CA88940 S LRAMENTO WASTE OIL PAY FROM THIS INVOICE 4504 Dunnbury Way e Sacramento , CA 95842 INVOICE NO, Transporters Registration No : 3130 Next P/U Date: CO . NAME PHONE ( ) ADDRESS CITY STATE ZIP QTY DESCRIPTION PRICE TOTAL Non - RCRA Hazardous Waste Liquid . Used oil/mixed oil . /per * No Placard required (221 ) gal Non - RCRA Hazardous Waste Liquid . Used antifreeze . /per * No placard required (343) gal Non - RCRA Hazardous Waste Liquid . Used oil with water /per * No Placard required (221 ) > 10% Water gal Non - RCRA Hazardous Waste Liquid . Oily water. * No placard required (223) TOTAL DESTINATION OF ALL LIQUIDS ALT. R. E. S . W.O. Dixon W.O. Ceres 1515 S. River Road 7000 Chevron Way 1920 Morgan Rd West Sacramento , CA 95691 Dixon , CA 95620 Ceres 95358 CAD 044 003 556CAT 080 012 602 CAL 000 393 680 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL, PLEASE SIGN AFTER READING , 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- 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 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 standards and not these more stringent requirements . This notification is for information purposes 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 f have determined to be economically practicable and that I have selected the practicable method of treatment, storage , or disposal currently available to me which minimizes the 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 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 accept the additional charges for the disposal of this waste if the 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 and accurate description of the waste , All relevant information Generator's Signature : regarding known or suspected hazards associated with the waste has been disclosed , I also certify that I have not Contact Person : mixed this waste with any other waste. Venue for purposes of enforcement shall be in Sacramento County, I declare Transporter 's Signature : under perjury that the foregoing is true and correct. Term net 10 days , Finance charge of 2 % per month (24% per year) on accounts not paid within 30 days , A $ 45 . 00 Fee will be charged for returned checks.