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10/ 06/ 2021 05 : 33PM 12098250041 SACRAMENTO WASTE OIL PAGE 10/ 10 <br /> Date: - <br /> ustomer;EPA �� t ,r a c= 7 <br /> State Manifest <br /> )river EPA #CAL 913534912 Document # <br /> �ument <br /> DHP #CA88940 <br /> INVOICE NO . 4 3 2 9 3 <br /> SACRAMENTO WASTE <br /> OIL <br /> 4504 Dunnbury Way 0 Sacramento , CA 95842 PAY FROM THIS INVOICE <br /> 144 <br /> Transporters Registration No : 3130 Next P/U Date: <br /> llipilipitiallil MINIMUM <br /> CO. NAME JS'' FSS r� �' PHONE f S ) _ 31 <br /> ADDRESS � � <br /> CITY STATE ZVP Ql <br /> I <br /> DESCRIPTION PRICE TOTAL <br /> RA Hazardous Waste Liquid . Used oil /mixed oil . /galcard required (221 )RA Hazardous Waste Liquid . Used anti -Preece . /gal <br /> er <br /> card required (343)CRA Hazardous Waste Liquid . Oily water. /per <br /> card required (223) gal <br /> MONSOON <br /> `DOTAL <br /> ALT. <br /> DESTINATION OF OIL S. K, <br /> R , E .S, DK Dixon T F R 0 ' T' <br /> 1515 S. River Road 7000 Chevron Way 655 South Stanford Way 5300 Claus Rd , <br /> 6880 Smith Ave . <br /> West Sacramento, CA 95691 Dixon , CA 95620 Sparks , NV 98431 riverbank, CA 95367 Newark , CA 94560 <br /> CAD 044 003 556 CAT 080 012 602 NAV 982 510 711 CAS 000190 816 ,NOW NIEMEN <br /> CAD 980 887 418 <br /> IMPORTANT NOTICE REGARDING THE DISPOSMON OF YOUR USED OIL . FLEASE SIGN AFTER RFADINGI, <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 out-of-stAte facititles that process <br /> used oil also meet those requirements . These include more stringent teak detection and prevention requirements , engineering certifications of lank integrity, and <br /> financial as for closure and accidental releases . It is lawful to send used oil to out-ofrstate facilities that comply only with federal used oil management <br /> standards and not these more stringent requirements . This nofification is for information purposes only. <br /> GENEWORS CERTIFICATION : I hereby declare ihat 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 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, atorage, 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 bast waste management method that is available to me end that I can afford , I have not mixed any of the waste described above with <br /> any oFher hazardous waste . the total halide content is LESS Phan 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. t agree to accept the additional charges for the disposal of this waste if the <br /> Information I have provided about this waste is incorrect. I hereby , ty that all the Information submitted in this and all attached documents contains true and <br /> accurate description of the waste , All relevant information <br /> Generator 's Signature : regarding known or suspected hazards associated with <br /> the waste has been disclosed . 1 also certify that I have not <br /> Gontact Person ; mixed this waste with any other waste . Venue for purposes <br /> .,OT enforcement shall be in Sacramento County. I declare <br /> Transporter's Sigriatur — _ under pejury that the foregoing is true and correct . <br /> Term net 10 days . Finance charge of 2% per month ( 24 % par year; on accounts not paid within 30 clays . <br /> A 525 . 00 Fes will be charged fc : returned checks . <br />