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0.5/11/1999 22:19 2093692621 <br />D AND R ROEK <br />PAGE 01 <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />Invoice Number: <br />P. O_ <br />Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668.3880 <br />EPA. CAL000827878 <br />-" :4 Invoice Date: <br />BILL TO: <br />KHANS AU'T'O <br />.SOB SITE: t :.• .: <br />I�i�r�l� AUTC) •�-�.sa , <br />; <br />720 E=. LOCA <br />I_t�t�.:�,5�c; <br />AUG 17 <br />t-.CA)l C A 9F.:�40 <br />2009 <br />SA <br />vOL �T Y <br />Phone Customer P.O. <br />Payment Terms <br />EPA# <br />CA1,00033-13,41 <br />-2,09--ie-7-9870 MtATF-IFVV <br />f'. <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE MANIFEST <br />QUANTITY PRICE AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />r <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />N/A <br />°,j <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A r. F <br />�(lFl �� 6;XI.E?f14�h� {_�F" ��� �- ar:!•s -i � p>'2 <br />•- •• <br />•.,.•' <br />I hereby Certify that I have not inbred *& waste wNh any other waste, that the total helkift are loee than 1000 P.P.M.; and that <br />the witsite does not contain any P.Ca,'s_ I furtfwr ogre* to accept the additional chargee for Iegal disposal 0 this waste Is over TOTAL <br />1000 P.RM_ trtW h6*18e, or ountwnee PC -B-'& <br />DRIVER GENERATOR/ AUTHORIZEQ �wr f.,.--". <br />SIGNATURE SIGNATURE SIGNATURE r <br />TERMS: INVOICES OVER 30 -DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREOt TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />Aml=n \kmay Nhete ON hereby advises the above Generator the Generators ehlMMA of used oil may be b'anspo►tad to a facANy iFtet it required to oompy <br />w <br />with federal regu salons applicable to management of used Oil, but that Is not required to Cony with the more stringant requirements apPNcable do hazardous <br />wosta ffWvM n'r►ertt WAiiies. CaAtomia tacrttles that handle or process used oN are required to moo, #hose more odngent reWiremorm, and soars out -d- <br />ab" declines tttat process ueerf ON also meet two requirements. engineering certtiieations of tank integrity, and ffnaridelS� andnand <br />aocidental releasee. It is lawful to send used oil W out-of-dtate fadlniee that oompiy only with federal used or management <br />subvellt roquirornorft• <br />This rwtflleatfon is for Infortnatkm purposes only. <br />Driver signed Dat — Generator signed Date <br />b and the hazardous <br />By s;pninp tfw imusgenerator <br />** tin* otartlHw »,d the gelterator ties *staWiehed a p►gpram to redoes the volume or quantityquantity�Y d <br />waste 10 the degree, as determined by the genemlor, to be economically practicabie- <br />By both parties signing this invoice N will serve as an agrearnent that American Vapey will submit confirmations for (oerftin waste ettearrta) to the generator <br />that their waste has been transported m a Ik;e s tmobnent of transfer fACNlty. <br />DISPOSAL f FtEGY!PLINQ_FAQW-TY <br />O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERMICE,S <br />5300 CLAUS ROAD • RIVERBANK, CA 96367 1 s s SOUTH RIVER ROAD * W. SACRAMENTO, CA 95661 <br />200-8113-8181 • EPA fl CAL0001W818 916-371-5747 * EPA • CAD044003556 <br />