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PLEASE PAY FROM THIS INVOICE <br /> Customer EPA# Date: <br /> Driver EPA#CAL 913534912 State Manifest Document# <br /> CHP#CA88940 <br /> SACRAMENTO WASTE OIL <br /> 4504 Dunnbury Way•Sacramento, CA 95842 <br /> (916) 849-0144• <br /> Transporters Registration No: 3130 tR 'j?OICE NO. C <br /> CO. NAME PHONE ( ) <br /> ADDRESS <br /> CITY STATE ZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid /per <br /> Gallons of used oil pumped out of <br /> drums or tank. (221) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of used anti-freeze pumped /per <br /> out of drums or tank. (343) gal <br /> Non-RCRA Hazardous Waste Liquid <br /> Gallons of oily water pumped <br /> out of drums or tank. (223) <br /> DESTINATION OF OIL <br /> R.E.S. P.O.# Service Charge <br /> 1515 S.River Road <br /> West Sacramento,CA 95691 TOTAL �► <br /> When using the consolidated manifesting procedure,Sacramento Waste Oil Services agrees with the generator <br /> listed below to have the generator's hazardous waste transported to an authorized hazardous waste treatment <br /> facility for appropriate treatment. <br /> Generator's Certification: I certify that I have a program in place to reduce the volume and toxicity of waste <br /> generated to the degree I have determined to be economically practicable. <br /> Generator's Signature: <br /> Contact Person: <br /> Transporter's Signature: <br /> Term net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. <br />