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10/ 06/ 2021 05933PM 12098250041 SACRAMENTO WASTE OIL PAGE 07/ 10 <br /> customer EPA # <br /> _ ZOO i 11 7 "f - Date: f .i • `C%� P <br /> ]river PPA #CAL 913534912 State Manifest Document <br /> SNP NCA88940 <br /> SACRAMENT ® WASTE CIL. PAY FROM THIS INVOICE <br /> 4504 Dunnbury Way S Sacramento , CA 95842 INVOICE NO. 47045 <br /> (91 F) 849 -0144 <br /> Transporters Registration No : 3130 Next P/U WOMEN <br /> Date :MENOMINEE III — <br /> �-; PHONE ( i 1 � j <br /> C(7 . NAME Q l � {e / d %,t[`�-fit <br /> ADDRESS <br /> CITY <br /> {rcpt STATE C • ,-J . ZIPw3 <br /> FJ*N0 <br /> DESCRIPTION PRICIE 'TOTAL <br /> on - RCRA Hazardous Waste liquid . Used oil/mixed oil . /per f Cr <br /> Placard required (221 ) <br /> on -RCRA Hazardous Waste Liquid . Used anti _freeze . /pgeral <br /> o 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 Liquid . Oily water. <br /> " No placard required (223) <br /> TOTAL �► 1 �; � . ... �. <br /> DESTINATION OF ALL LIQUIDS ALT. <br /> R .E .S . w.0 . Hixon W.O . Cares <br /> 1515 5 . 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 000 393 660 <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 with 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 oGt of--state facititles thak process <br /> used oil also meat 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 lawful to send used oil to out-of-state facilities that comply only with federal used on management <br /> standards and not these more stringent requirements. This notlflcation is for informaflon purposes only. <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 , packed , marked , labeled , and are in all respects in proper condition for transport by highway according to applicable state and federal regulalions . <br /> If I am a large quantity generator. I cer lry 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 dispoS81 currently available to me Which minimizes thn <br /> present and future threat to human health and the environment: OR, if I am a small quantity generator, I have made a good faith effon to minimize my waste <br /> generated and select the beat waste management method that is available to me and that I can afford . I have not mixed any of the waste described above with <br /> 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 <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 if the <br /> information i have provided about this waste is incorrect. 1 hereby certify that all the Information submitted in this and all aiteched documents contains true and <br /> Wool accurate description of the waste. All relevant information <br /> Generator 's Sign atures '' - -- - - - regarding known or suspected hazards associated with <br /> 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. I declare <br /> all <br /> Transporter 's Signatu `__ _ _ ---ter ^ under perjury that the foregoing is true and correct . <br /> - -- - Will <br /> Term net 10 days . Finance charge of .? % per month (24 % per year) on accounts not paid within 30 days . <br /> A $ 45 . 00Fee will be charged for returned checks. <br />