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05/13/2010 10:27 FAX 209 466 3537 JM EQUIPMENT CO. IA002/004 <br /> "AMEIkICAN VALLEY 92892 <br /> WASTE OIL, INC. Invoice Number: <br /> P x'340 • Delhi, CA 95315 <br /> PH. 1-80032-4546-<FAX 209-868-3880 <br /> « CAL000827878 <br /> LTO: <br /> J.111111 EQUIPMENTAPR 1 2 Zi719 ww�' JOB SITE: Invoice Date: <br /> N 1246 W.CHART f24tiW ITER yyAY <br /> STOCKTON.CA STOCKTON,CA 96208` 2111110011. <br /> • '4 <br /> ne Customer P.O. Terms EPA# <br /> mr, 2d8 466 0707 9C�UTT Not 30 Date CAD6824t34210 <br /> DUCTSH DESCRIPTION <br /> WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> N-RCRA Waste Liquid Used Oil/Mixed Oils 221 404 ` a <br /> N-RCRA Waste Liquid Used Antifreeze 133 <br /> N-RCRA Waste Liquid Used Oily Water 223 <br /> N Hazardous Waste Liquid <br /> unity Heavy Duty premixed Recycled Antifreeze <br /> nity Extended Life premixed Recycled Antifreeze <br /> rinity Case Goods <br /> K <br /> Wash Out <br /> cKT4me <br /> S: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all,legal ices g court action TOTAL <br /> s necessary to collect thb invoice. <br /> .`.eignin9 I herby oertdy that I have not mixed this waste with any other waste,that the total halides are bas Men 1000 P.P.M:and that the waste does not <br /> any P.C. 's. I further agree to accept the additional charges for legal disposal If the waste is over 1000 P.P.M.total halides,or contains any P.C.Ws <br /> nmm rtrtiicati a mg I certify that I have a program in piece to reduce the volume and toxicity of hazardous waste generrited to the degree I <br /> th groes..sign �#Ypracticable.wllserve <br /> a <br /> that their waste has been itwillserve es an agreement that Artrodeatm Vasey Waste Oil will submit confirmation for(certain waste streams)to the <br /> sported to a licensed treatment or transfer facility. <br /> �' tederelby Waste Oil hereby advises the above Generator the Generators shipmem of used oil may be transported to a facility that Is required to co <br /> - regulatiowithns applicable to management of used oil,but that is not required to comply wthe more stringent requirements applicable to hazardous <br /> . . management laoftes.Cs#tomb facilities drat handle or process used oil are required to meet those more stringent requirements,and some <br /> out-of-facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and 6nancrel assurances for closure and <br /> m requirereleases.It Is lawful to send used oil to out-ot-state facilities Mand at comply only with federal used oil manag"t standards amore <br /> ., notfrrcatan b for information purposes only." <br /> IVER GENERATOR/AUTHORIZE <br /> NATURE SIGNATURE SIGNATURE <br /> P r-f'Vrll IN FA 1 I 0 NAME: <br /> �L. O DK-DIXON RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAV 1515 SOUTH RIVER ROAD CITY/ST: <br /> - DIXON,CA 95620 W.SACRAMENTO,CA 95691 <br /> 707.693-6008 916371-5747 PHONE: <br /> EPA N CAT060012602 EPA#CAD044OD3556 ;EPA#: <br /> MPC(1d2000) <br />