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Phone <br />Customer P.O. ' <br />AMERICAN VALLEY <br />106795 ' <br />WASTE OIL, INC. <br />Invoice Number: <br />P. O. Box 340 • Delhi, CA 95315 <br />CAL000361071 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />CAL000827878 <br />3 13 / <br />BILL TO: JOB SITE: MOE AUTO REPAIR <br />Invoice Date: <br />MOE AUTO REPAIR <br />7255 S. AIRPORT WAY 2255S. AIRPORT WAY <br />AMOUNT <br />STOCKTON, CA 95205 STOCKTON, CA 95205 <br />WASTE <br />Sties Rao: Austin <br />Phone <br />Customer P.O. ' <br />Terms <br />EPA# <br />209-93&1490 MOE <br />C.O.D. <br />CAL000361071 <br />PRODUCT SHIPPING DESCRIPTION <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />WASTE <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON-RCRA Waste Liquid Used Oily Water <br />223 <br />NON Hazardous Waste Liquid <br />Trinity Heavy Duty premixed Antifrge7e <br />r <br />y <br />-T' i .F,xterided Life premixedrAntifreeze <br />'. <br />Trinity .. a <br />Trur* Wash OtA <br />t <br />; <br />Trude Time <br />, <br />TERMS: Imroices over 30 D 'are sutyect to a 1.5% service charge. Customer agrees to pay all legal fees if court action G <br />becomes necessary to toll MS irnoice. <br />ey signing I herby cerQfy t I ave not mixed this waste with any other waste, thatRhe total halides are less than 1000 P.P.M; and that the wasted not <br />P.C.B's. tlurth me to accept the additional charges for legal disposal if the waste is over 1000 P.P.M. total halides, or contains <br />conem erry ,a <br />Generators CertBic$on: $y signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br />have determined economically practicable. <br />it will serve as an agreement that American Vallljr Waste Oil will �bmit confirmation for (certain waste streams) to the <br />By both parties gningwoice <br />generator that thbir wasttgh6 xbeen transported to a licensed treatment or transfer facility. <br />{t <br />ises the Generator the Generators shipment of used oil may be transported tda facility that is required to comply <br />American Valley Waste 00 above <br />with federal regulations o management of used oil, but that is not required to comply with the more stringebt requirements applicable to hazardous <br />waste management facll rnia facilities that handle orr�lparocess used 06 orCe¢ quired to meet those rpore stfingent requirements, and some out-of- <br />and lal assurances and <br />ons of tank soil not <br />eleasethat management sta dards and theseemore <br />accidentalties <br />splt�l i1 ds s deoil tt0000 out -of -slam facilitiesntth t ly"onlyawhh federal used <br />stringent requirements. - <br />This notification is for into tion purposes only. <br />�' <br />I <br />}y� IZED <br />DRIVER ±'..� * DATE: 23 <br />SIGNATURE: DATE:E: <br />4-gm <br />O NAME. RELY LING FACILITY <br />ADDRESS: -IXON O RAMOS ENVIRONMENTAL SERVICE <br />t, X300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />CITY/ST: K{IXON, CA 95620 W. SACRAMENTO, CA 95691 <br />PHONE: 7-693-6008 916-371.5747 <br />1> # CAT080012602 EPA # CAD044003556 <br />EPA*� .. r. <br />