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10/ 06/ 2021 05 : 33PM 12098250041 SACRAMENTO WASTE OIL PAGE 04 / 10 <br /> pate: <br /> ustamer EPA # <br /> • � t 90A <br /> Stat <br /> ni t o un t # <br /> )river EPA # CAL 9135349127- . <br /> ;HP #CA88940 SACRAMENTO &WASTE OIL PAY FROM THIS INVOICE <br /> 4504 Dunnbury Way Sacramento , CA 95842 INVOICE No. , <br /> (919) 949M0144 <br /> Next P/ U Date : <br /> Transporters Registration No : 3130 <br /> T PHONE <br /> CO , NAME <br /> i <br /> ADDRESS <br /> STATE ZIP <br /> CITY <br /> QTY <br /> DESCRIPTION PRICE TOTAL <br /> Non � RCRA Hazardous Waste Liquid . Used oil/mixed oil. /pier , ( <br /> " No Placard required (221 ) <br /> Non - RCRA Hazardous Waste Liquid . Used anti"freeze . /gear <br /> " No placard required (343) <br /> Non-RCRA Hazardous Waste Liquid , Used oil with water /per <br /> ` No Placard required (221 ) > 10% Water gal <br /> Non- RCRA Hazardous Waste Liquidt oily water, <br /> " No placard required (223) <br /> TOTALAC <br /> AL,T . <br /> DESTINATION OF ALL QUIDS <br /> R .E .S . W.O. Dixon W. O. Ceres <br /> 1515 S. River Road 7000 Chevron way 1920 Morgan Rd <br /> west Sacramento , CA 95691 Dixon , CA 95620 Ceres 95358 <br /> CAD 044 003 556 CAT 080 012 602 CAL 000 393 680 <br /> 1111 <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 regula- <br /> tions applicable to management of used oil , but that is not required to comply wM the more stringent requirements applicable to hazardous waste management <br /> 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 <br /> used oil also meet those requirements. These include more stringent leak detection and prevention requirements. engineering certifications of tank integrity, and <br /> financial assurances for closure and accidental releases. It is law ul to send used oil to out�of-atate facilities that comply only with federal used oil management <br /> stHndards and not these more stringent requirements , This notification is for information purposes 001Y, <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 , pecked , 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 <br /> to be economically practicable and that I have selected the practicable method of treatment, storage ; or disposal currently available to me which minimizes the <br /> present and future threat to human health and the environment; OR, if I am a smell quantity generator, I have made a good faith effort to minimize my waste <br /> generated and select the best waste management method that is available to ma and that I can afford . 1 have not mixed any of the waste described above with <br /> any other h02ardous 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 <br /> of the applicable California used oil management regulations 10 determine this is true . I agree to accept the additional charges for the disposal of this waste if the <br /> information I have provided about this waste Is in, rraCt . I hereby certify that el a information zubmkted in this and all attached documents contains true and <br /> accurate description of the waste. All relevant information <br /> regarding known or suspected hazards associated with <br /> Generator's Signature : r the waste has been disclosed . I also certify that I have not <br /> Contact Person : mixed this waste with any other waste , Venue for purposes <br /> of enforcement shall be in Sacramento County. l declare <br /> Transporter's Signature , under perjury that the foregoing is true and correct . <br /> Term net 10 days. Finance charge of 2% per month (24% per year) on accounts not paid within 30 days. <br /> A $ 45400 Fee wi !l be charged for raturned cheeks. <br />