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# -,AMERICAN VALLEY <br /> - T 37287 , <br /> Recve�e } `WASTE OIL, INC. - Invoice Number: <br /> ,- <br /> R O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> EL-2- <br /> Invoice <br /> 2Invoice Date: <br /> BILL TO: JOB SITE: <br /> )w CAB �, YELT1,0 <br /> W CAB <br /> i,u0 S. AIRPORT WAY 7030 S . C.E. DIXON <br /> ITOCrTiid, CA 95202 STOCKTON, CA 95202 <br /> Phone Customer P.O. Payment Terms EPA# <br /> l <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY <br /> CODE PRICE AMOUNT <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 50/50 <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE. CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOTAL , <br /> IVE <br /> NATURE '� , GENERATOR <br /> S G <br /> : SIGNATURE <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a-facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> 4' waste management facilities. California facilitiesthat handle or process used oil are required to meet those more stringent requirements, and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank integrity,and financial assurances for closure and acci- <br /> dental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more strin- <br /> gent requirements. <br /> This notification is for ipfprmatign purposes only. � f/__ 1 <br /> Driver signed t..=,.�/ '-- q - .( <br /> 9 6 Dat4`` � � Generator signed �" '^` Date�"l <br /> By signing the invoice the generator certifies that the generator has established 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 /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. <br /> p1SPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181 •EPA 0 CAL000190816 916-371-5747•EPA CAD044003556 <br /> MPC(20( <br />