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10/ 06/ 2021 05 : 33PM 12098250041 SACRAMENTO WASTE OIL PAGE 05/ 10 <br /> /� <br /> Customer EPA a _ CJt7 <br /> () river EPA #CAL 913534912 \�VP`p� State �nib fe nt k <br /> oo a <br /> CHP MCA86940 <br /> SACRAMENTO WASTE OIL PAY FROM THIS INVOICE. <br /> 45.04 Dunnbury Way e Sacramento , CA 95842 INVOICE N0 . 5, 0623 <br /> (916) 849soO144 <br /> Transporters Registration No : 3130 Next P/U Date: <br /> CO . NAME PHONE <br /> Ott <br /> ADDRESS <br /> CITY STATE ZIP — <br /> CITY DESCRIPTION PRICK TOTAL <br /> Non �%RCRA Hazardous Waste Liquid . Used oil/mixed oil . /pger <br /> " No Placard required (221 ) <br /> aij <br /> Non- RCRA Hazardous Waste Liquid . Used anti -freeze . /per <br /> " No placard required (343) gal <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 /> h TOTAL �- <br /> ALT, <br /> DESTINATION OF ALL LIQUIDS <br /> R .ES. W.P. Dixon W.O. Ceres <br /> 1515 S . River Road 7000 Chevron Way 1920 Morgan Rd <br /> West Sacramento , CA 95591 Dixon , CA 95620 Ceres 95358 <br /> CAD 044 003 556 CAT 080 012 602 CAI, 000 393 680 <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 transpoded 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 will". the more stringent requ!remems 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 /> ction and prevention requirements : engineering certifcatians of tank integrity, and <br /> used oil also meet those requiraments. Tnese inciuda more stringent ieak dete <br /> financial assurances for closure and accidental releases. It is lawful to send used oil tc out-of•state facilities that comply only with federal used oil management <br /> standards and not these more stringent requirements. This notiticatior. is For inrormetion purposes only, roper shipping name, <br /> GENERATORS CERTIFICATION : t hereby declare that the contents of this consignment are fully and accurately described above by p P PP 9 <br /> are classified , packed , marked , labeled. and we in all respects in proper oordifior far 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 1 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 small quantity generator. I have made a good faith effort to minimize my waste <br /> generated and select the best waste management method that Is avaitable 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 heve complied with the requirements <br /> of the applicable California used oil management regulations to determine this is true . I agree to accept the additional chargea for the disposal of this waste if the <br /> information I have provided about this was" incorrect. I hereby certify thatis the information submitted 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 w <br /> Generator's Signature : ith <br /> the waste has been disclosed. I also certify that I have not <br /> Contact Parson : mixed this waste with any other waste . Venue for purposes <br /> of enforcement shag be In Sacramento County. I declare <br /> Transportar 's Signature ; under perjury that Ire foregoing Is true and' correct . <br /> Tewm net 10 days . Finance charge of 2% per month (24% per year) on accounts not paid within 30 days . <br /> A $ 45 , 00 Fee, Vi!]! be charged for rsturned checks . <br />