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Mar 12 09 08: 26a tom price 209-365-6781 p. 4 <br /> AMERICAN VALLEY -'• <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 = Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: GASOLINE ALLEY JOB SITE: GASG_iivE ALLEi <br /> )J2°:)S. BECKMAN RD 820 S. BECKMAN' RL' <br /> LODI. CA 95240 LOD! 0A 3524. <br /> r I <br /> x %les ReoSIDwaRD <br /> .l <br /> 5-8747 TOM Customer P.O. Payrpga33 Sys EPA#'fL0(Vj?u!3'20 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> I hereby certify that 1 have not mixed this waste with any other waste,that the total halides are less than 1 Doo P.P.M:and that <br /> the waste does not contain any P.C.B.'s.I further agree to accept the additional charges or legal disposal if this waste is over TOTAL <br /> 1 DDo P.P.M.total halides,or contains any P.0.8.'s. <br /> GENERATOR/AUTHORIZED <br /> DRIVER C �` % <br /> SIGNATURE.' F - SIGNATURE SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.50/6 SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> wAmerican ith fedemlalregulawaste <br /> tion OPlphereby <br /> tceble o rrhanatogemem of used oil,but thae above Generator the Generators of requireed to omply with the�more be stringent rerted quirements sdaPPl ie too acomply <br /> waste management facili ies.California facilities that handle or process usedon ercertifications <br /> e�r� treodne meet tank ntegrity,eand stringent requirements, <br /> atssurances or closu e and <br /> state faciiitles that process used ON also meet those requirements, engineering <br /> accidental releases. It is lawful to sed used oil o out-0(-state facilities that comply only with federal used oil management standards and of these mora <br /> stringent requirements. <br /> This notification is for information purposes only. Date <br /> Driver signed Date Generator signed <br /> By signing the invoke the generator certifies.that the generator has established a program to reduce the vdume or quantity and tonicity oT the heEardmtor <br /> waste to the degree,as determined by the generator,o be economically Practicable. <br /> By <br /> yat both <br /> parties <br /> hair s iin�ded il a license ana agreement <br /> or transfer facility. <br /> American <br /> n Valley will submit confirmations for(certain waste streams)to the gene <br /> been <br /> tre <br /> DISPOSAL/ RECYCLIN FACILITY <br /> ENVIRONMENTAL SERVICES <br /> 0 RIVERBANK OIL TRANSFER _...__ __._ ... _. —.. �•�_��� <br />