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If &I, �� 0 .. • <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />BILL TO: <br />STOCKTON SVC STATION <br />P.O. BOX 508 <br />STOCKTON, CA 96201 <br />P.O, Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAXR+209-668-3880 <br />,..,. I I CAL000827878 <br />oB SITE: <br />ESTESTRUCK <br />7611 $. AIRPORT <br />STCtCKTON, CA 95205 <br />.96146 <br />Invoice Number <br />Invoice Date: <br />Phone <br />Customer P.O. (Terms <br />EPA# ' <br />2M464-8333 MIKE <br />Net 30 Daye <br />I CALOOU275800 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />NON-RCRA Waste Liquid Used OIIIMlxed Oils <br />221 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON•RCRA Waste Liquid Used Oily Water <br />223 <br />60 j Z 2� C <br />C✓ <br />/ <br />NON Hazardous Waste Liquid <br />Trinity Heavy Duty premixed Antifreeze <br />Trinity Extended Life premixed Ant'rfreeze <br />Trinity Case Goods <br />Truck Wash Out <br />Truck Time <br />TERMS: Invoices over 30 Days emaubJoc1 to a 1.5% service charge, Customer egress to pay all legal tees If court action <br />TOTAL r <br />becomes necessary to Cola this Invoice. <br />By sl ring I herby certify that I have not mixed this waste w11h any other waste, that the total halides are less then 1000 P.P.M: end that the waste does not <br />contain any P.C.B s. I funher agree to accept the additlonal charges for legal disposal if the waste Is over 1000 PP.M. total halides, or contains any P.C.S's <br />Generator's CAruflosNon. By signing I certify that I havo a program In place to reduce the volume and toxicity of hazardous waste generated to the deg(,ee I <br />have determined to be economleally pmctosole. <br />By both parties signing this Invoice It will serve as an agreement that American Valley Waste Oil will submit confirmation for (certain waste stmams) to the <br />generator that their Waste has been transported to a licensed treatment or transfer facility. <br />American Valley Waste 011 hereby advises the above Generator the Generators 5hlpme4a of used Oil may be transported to a faclllly that is required le comply <br />with federal myulmlons applicable to mans Arrant of used oll, but that is not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facF9lies that handle or process used oil are relavired to meet those more stringent requirements, and some our-ol- <br />state facilities that process used oil also meet those raquUemenls, englnearing eerl8leatldns of tank Integrity, and nancial assurances for closure and <br />accidental releases. It Is lawful to send used oil to our -of -state facilities that comply only with federal used all management standards end sot these more <br />stringent requirements <br />This notiflaatlon Is for Information purposes only , <br />DRIVER GENERATOR/ <br />-%'� AUTHORIZED 7 <br />�U <br />SIGNATURE: DATE. SIGNATURE DATE: <br />I <br />�... <br />Q .. NgME,_.. . pIISPO�a"AL / F{ECY CINU 'CI .I <br />AdDRrse; - .J::IDit-DIXON 0 RAMOS ENVIRONMENTAL SERVICE <br />CITY/ST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691 <br />PHONE:_ 707.693.6008 916-371-6747 <br />EPA", EPA R CAT080012602 EPA H CA0044003558 <br />