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Items <br />Qty Sku <br />Sugg, <br />Description LiSt <br />Cost <br />Core <br />Amount <br />1 112963 <br />78-B <br />DURALAST PROF 115.90 <br />57.95 <br />12.00 <br />69.95 <br />CD -1 112963 <br />78-B <br />DURALAST PROF 0.00 <br />0.00 <br />12.00 <br />12.00- <br />1 112967 <br />34-B <br />DURALAST PROF 11.5.90 <br />57.95 <br />12.00 <br />69.95 <br />CD -1 112967 <br />34-H <br />DURALAST PROF 0.00 <br />0.00 <br />12.00 <br />12.00- <br />1 11.2973 <br />51R -B <br />DURALAST PRO 115.90 <br />57.95 <br />12.00 <br />69.95 <br />CD -1 112973 <br />51R -B <br />DURALAST PRO 0.00 <br />0.00 <br />12.00 <br />1.2.00- <br />11- 111VUT/gT.! !]TArWW We%v- <br />T}f• IL19AVa Tt*M M■ <br />OILY WATER, NON RCRA HAZARDOUS <br />AMERICAN VALLEY <br />WASTE LIQUID <br />,: <br />WASTE OIL, INC. <br />TRINITY HEAVY DUTY PREMIX <br />Invoice Number: <br />P. O. Box 340 - Delhi, CA 95315 <br />RECYCLED ANTIFREEZE <br />N/A <br />PH, 1-800-732-4645 - FAX 209-668-3880 <br />NON HAZARDOUS WASTE LIQUID <br />EPA. CAL000827878 <br />TRUCK TIME <br />N/A <br />Invoice Date: <br />BILL TO: JOB SITE: KHAI'C) kff(;) <br />KHANS AW 0 <br />720k:. �„Ol::;i k.�l <br />I..ODI ('/A9i i,_41} l.�)L�i. CA 9521,10 <br />",�.1 rte 12iu, <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />204-36_7.t1Sii1liri��.>7i1= ! <br />{'.;_►i;y. <br />C�'tl.i:)Cl( , �K <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <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 />RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />; <br />"trinity E-xUTf& ra Life F'ri-2,mix <br />I hereby mortify that I have not mixed this waste with any ottrer waste, that the Dotal halides are less than 1000 P P.M.; and that <br />the wasis does not owtaln any P.C.B.'s. I further agree to accept the addttional Charges for legal disposal 0 this waste is over TOTAL�;� <br />1000 RRM. total helidee, or contains a P,C.B.'s. <br />DRIVER GENERATOR AUTHORIZED <br />SIGNATURE f. SIGNATURE SIGNATURE '- <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE, CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />nt <br />Amerimn Valley Waste Oi hereby advises the above Generator the Genaretors shipmeof used oil may be transported to a facitlh+ that is rewired Du comply <br />is to comply with the more stringent requirements applicable to hazardous <br />with federal regulations applicable to management of used oil, but that not requhed <br />facilities handis or used oil are required to meet inose more stringent requiremertts, and some out-of- <br />waste management facilities. CalHomia that process <br />state Willies that prooses used of also meet those requirements, engineering Certifications of tank integrity, and financial asourances for closure and <br />accidental releases. It is lawful to send used all to outof-state facilitiee that comply only with federal used oil management standards and not these more <br />stringent requirements. <br />This notification is for information purposes only. <br />Driver signed pate Generator signed Date <br />By signing the invoice the generator Certifies that the generator has estabilshed a program to reduce the volume or quantity and toxicity of the hazardous <br />waste to the degree, as determined by the generator, to be economically practicable. <br />that American Valley will submit confirmations for (certain waste strrtams) to the gerleretor <br />By bath parties signing this invoke it will serve as an agreement <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPQS Lam/ RECYCLING FACILITY <br />O RIVERBANK OIL TRANSFER Q RAMOS ENVIRONMENTAL SERVICES <br />8300 CLAUS ROAD - RIVERBANK, CA 96367 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 96681 <br />M1a_aaa_�1 21 . Fee 4 r`sl nn(I I QnAt R 91 B-371-5747 - EPA # CAD044003556 _ _ <br />ZO 3JVJ <br />A30J J aNV Q <br />TZK69E6OZ EP:ZO 666T/5T/50 <br />