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AMERICAN VALLEY <br />,CLE WASTE OIL, ING: <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />BILL TO: <br />tot PJ , W cin LO -1 <br />': tUCk i oi� Ln RN05 <br />�. 34906 <br />Invoice Number: <br />JOB SITE: <br />Joao E • Cl�an� r <br />�}vcL �r� Ca.9 �ZoS <br />X•, fa r7 7vi02 <br />C-,/5 <. <br />Invoice Date: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />abX63o15__1 <br />;- (L)L' - )tLO <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />221 <br />O �U <br />WASTE LIQUID <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASW EEP <br />N/A <br />HALOGEN TEST <br />N/A <br />SLUDGE, NON-RCRA HAZARDOUS <br />WASTE LIQUID <br />N/A <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES <br />THIS INVOICE. TOTAL <br />) <br />/ <br />TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT <br />DRIVER <br />, <br />GENERATOR <br />SIGNATURE <br />SIGNATURE <br />By signing the invoice the generator certifies that the generator has established a program to reduc he volume or qu Ity <br />determined by the generator, to be economically practicable. <br />and toxicity of the hazardous waste to the degree, <br />as <br />By both parties signing this invoice it will serve as an agreement that AWerican Valley will submit confirmations for (certain <br />has been transported toa license treatment or transfer facility. <br />waste streams) to the generator that their waste <br />DISPOSAL/ RECYCLING <br />FACILITY <br />&-gIVERBANK OIL TRANSFER <br />O RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD <br />1515 SOUTH RIVER ROAD <br />RIVERBANK, CA 95367 <br />W. SACRAMENTO, CA 95691 <br />209-863-8181 <br />916.371-5747 <br />CAL000190816 <br />CAD044003556 <br />MPC <br />