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10/ 06/ 2021 05933PM 12098250041 SACRAMENTO WASTE OIL PAGE 09/ 10 <br /> ' l ezais J d fi 1 Date : — <br /> :ustomer EPA CC�(� <br /> '�'®�° � State Manifest Document # <br /> river EPA #CAL 913534912 L CJ S' C ) 7 14YI L <br /> ; HP POA88940 <br /> SACRAMENTO WASTE OIL PAY FROM THIS INVOICE <br /> 4504 Dunnbury Way84,9 = 0144e Sacramento , 1 958.42 INVOICE NO. 4 4 0 9 8 <br /> "� 1 6) Next P/U Date: — <br /> ransporters Registration No : 3130 MAIN IIIIIII <br /> WINNER IIIIII <br /> WIN <br /> CO . NAME <br /> 11100, VU f , 1 � /' y ( PHONE ( � <br /> ADDRESS STATE ZIP — <br /> CITY - <br /> �...__.,. <br /> MINOR <br /> QTY DESCRIPTION <br /> PRICE TOTAL <br /> A � <br /> /per f � ; <br /> Non - RCRA Hazardous Waste Liquid . Used ail/nixed oil . , gat <br /> "No Placard required (221 ) <br /> per/ <br /> Non-III RCRIII A HIII azardous Waste Liquid . Used stall -ff eeze. gal <br /> ' No placard required (343) <br /> NonnRCRA Hazardous Waste Liquid . Used oil with water /per <br /> ' No Placard required (221 ) > 10 % Water <br /> III NUNN INNER IIIII <br /> Non- RCRA Hazardous Waste Liquid . Oily Water . <br /> 4No placard required (223)Wool MINIM <br /> TOTAL / OS <br /> ALT . <br /> DESTINATION OF All LIQUIDS W, o. Ceres <br /> R .E .S . w.o. Dixon <br /> 000 Chevron Way 1920 Morgan Rd <br /> 1515 S . River Road Dixon , CA 95620 Ceres 953537 <br /> West Sacramento , CA 95691 CAT 030 012 602 CAL 000 393 baa <br /> CAD 044 003 556 Jill <br /> old <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YO pR U3ED OR . PLi RSE 51Gtd R FTER Rf;AbING . red to with federal re i Sacramento <br /> enhereby advises t of used a gent ratthaoris not requireld oecomply wi[n' the'amo gist gsnte eGuia®meats opal cab auto hazardous l waste management <br /> tions app <br /> facilities <br /> facilities . Californithose facilities <br /> that <br /> handle <br /> a dtle e or pro include umore steringent eaKodetaction nd prevention rrequ4eim nts tengn eenn9 certificationsof ank integrity, and <br /> used oil also meet <br /> financial assurances for closure and accidental releases . It is lawful to send used oil to out-0f-state ac e5 that Comply only with federal used oil management <br /> financial <br /> standards a and not these more stringent requirements . This �ofiftegon is for information purposes only. shi in name , <br /> GENERATORS CERTIFICATION; I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping <br /> way acc <br /> are classified. packed . mlia state and federal <br /> arked , labled . athaare in t i havelarespects if,program in place rto educe on theor transport <br /> volume and toxic ty of wasteidlgeneng to rated tothedegree I have determined regulations. <br /> if I afn a large quantity generator, 1 certify <br /> to be economically practicable <br /> to hiuma� health and theeenviironmernt that I have selcted the tOR iIf am a small quantity ga method of treatment , eonera o, i have made a good faith itly effort to minim ze my waste e <br /> present and future thrI I have not mixed <br /> ove with <br /> generated and select the best waste management method that is available to me and that I can <br /> and the whale does noticontain any aces a tyaoetGa piled withste t be reged bulre encs <br /> any othor hazardous wast6; the total halide Conient is LESS than 1 . 000 pp charges for the disposal of this waste if <br /> of the applicable Califomi d used <br /> oil management <br /> anast ms nt regulations <br /> s to y termitlf t all the nfo is is true * I motion submree, to tted in thislandiall attached documents contains true and e <br /> information I have Prov de accurate description of the waste . All relevant information <br /> JIM regarding known or suspected hazards associated with <br /> FGenarator% Signatur �^'"�~ <br /> the waste has been disGosad . I also certify that I have not <br /> mixed this waste with any other waste . Venue for purposes <br /> Person : oT enforcement shall be in Sacramento County. I declare <br /> rter's Signature: under perjury that the foregoing is true and correct. <br /> 1 11 111 11 <br /> Tetra net 10 days , Finanoa charge of 2% per <br /> me nth (24fo�. e veer) on ohacouns not paid within 30 days . <br /> AS4500ree <br />