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AMERICAN VALLEY 37050 <br /> RECYCLE ., 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: JOB SITE: <br /> a <br /> Phone Customer P.O. Payment Terms EP A# <br /> vPRODUCT SHIPPING DESCRIPTION WASTE CODE MANIFEST QUANTITY PRICE AMOUNT <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 r <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 /> DRIVER GENERATOR <br /> SIGNATURE SIGNATURE "r ! <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used dl may be transported to a faciI' abatis required to comply <br /> with federal regulations applicable to management ageent of used oil,but that is not required to comply with the more stringent requiren i;applicable to hazardous <br /> waste management facilities.California facilities that 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. '' x7 <br /> This notification is for information purposes only. ,��7 <br /> Driver signed Date Generator signs -'? Date <br /> By signing the invoice the generator certifies that the generator has established a program to 7educe the volume or q- ntity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. F <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 /> —,.DISPOSAL/ RECYCLING FACILITY <br /> C - <br /> 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#CAL000190816 916-371-5747•EPA#CAD044003556 <br />