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10/ 06/ 2021 05 : 33PM 12098250041 SACRAMENTO WASTE OIL PAGE 03/ 10 Date . ;ustomer EPA X 1 ( 11 State Mani IJflQstD u nt a J. )river EPA #CAL 913534912 ; Ht= #CA88940 SACRAMENTO WASTE OIL PAY FROM THIS INVOICE 4504 Dunnbury Way S Sacramento , CA 95842 INVOICE N0 . 51993 "'18491111111110144 Next P/L1 Date : Transporters Regist ' ion No: 3130ALLr i PHONE CO , NA ADDRESS ZIP — 16 STATEL_ 'Gd�•_ CITY QTY DESCRIPTION PRICE TOTAL IF oil . /per Non - RCRA Hazardous Waste Liquid . Used oil/mixed oil . gal " No Placard required (221 ) Non - RCRA Hazardous Waste Liquid . Used anti /per freeze . gal " No placard required (343) Non -BORA Hazardous Waste Liquid . Used oil with water /gal " No Placard required (221 ) > 100/o Water Nan - RCRA Hazardous Waste Liquid , Oily water. " No placard required (223) If IF YOTAL �► ZIS ALT, DESTINATION O L.l. LIQUIDS R.E. S . w.0 . Dixon W .o. Ceres 7000 Chevron Way 19zo Morgan Rd 1515 S. River Road Dixon, CA 95620 Ceres 95353 West Sacramento, CA 95691 CAT 080 012 602 CAL 000 393 630 CAD 044 003 556 11 liiiiiii WIN JIM JIM JOIN IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL, PLEASE SIGN AFTER READING. portSacramento Waste Oil hereby advises the generator that your shipment mplywithil may be the moretransstringenterequirementsd to a applicable y that is uto hazardous comply waste f management tions applicable to management of used oil, but that is not required tierit IN facilities . California facilities that handle or process used oil are reguired to me ent leak detection and prevention requireat those more stringent lments, engineering ertf ice oliLln fof ltiank infegrriitylcend used oil also meet those requirements, These include more string 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 notiNcatiorr is for information purposes only. GENERATORS CERTIFICATION : I hereby declare that the contents of this consignment are fully andhighway uaccord ng to applicable state ilawlY dOsc ' bad above by oand federal egu ations. are classified . packed. marked. labeled , and are in all respects in roper place to reduce theon for ransport bvolume olume and toxicity of waste generated to the degree i have determined If i am a large quantity generator. I certify that i have a pro9 to be economically practicable and that i have selected the practicable method of treatment ; storage, or disposal currently available to me which minimizes e present and future threat to human health and the environmant; OR, if I am a small quantity generator. I have made a good faith effort to he wasteminimize my waste ord . I have not mixed generated and select the best waste Stai halide contennt t is LESS haethod that ln t 0 0 PPe toM and nd the waste doeme and that I carl snotcontain any PCBs a have ny of tcomp ed with ti requirements ement any other hazardous wastem the to of the applicable California used oil m was se n ar��ract, I hereby certify hatrat �e information ubmittted in thisadditional attached doccharges for theuments contains hue aisposal of this waste lnd e information 1 have provided about t accurate description of the waste . All relevant information : f/ regarding known or suspected hazards associated with Generator's Signature : ; �" , the waste has been disclosed . I also certify that 1 have not mixed this waste with any other waste . Venue for purposes Contact Person : ,74i of enforcement shall be in Sacramento County. I declare Transporter 's Signature : �, �2X under perjury that the foregoing is true and correct . Term net 10 days. finance charge arSeooFee per will be nth (24d fore year) o checaccounts not paid within 30 days,