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ERICAN VALLEY 9iJ J <br /> WASTE INC. Invoice Number: <br /> P.O. Box 340 • Delhi, �-A 95315 <br /> PH. 1-800-732-4645 FAX 89-668-3880 <br /> f- 2—(o-10 <br /> BILL TO: ,SOB SITE: Invoice Date: <br /> ANTECA TIRE MANTECA TIRE <br /> M <br /> MA W.CA TIR 201 W.EDISON <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> Phone Customer P.O. Terms EPA# sales <br /> Cql UUU <br /> p SCRIPTION WASTE QUANTITY PRIC NT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 ?, g �V � lolo <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Recycled Antifreeze <br /> Trinity Extended Life premixed Recycled Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 11.5%service charge..Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. 1 <br /> By signing I herby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 P.P.M;and that the waste does not <br /> contain any PC B's I further agree to accept the additional charges for legal disposal if the waste is over t0oo P.P.M.total halides,or contains any P.C.B's <br /> Generators Certification: By signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both <br /> par their gwasteto or <br /> nwhiinvoice <br /> been itwill <br /> serve rted as an agreed ent that American <br /> rallley Waste Oil will submit confirmation for(certain waste streams) to the <br /> gene <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 /> 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 <br /> accidental 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 <br /> stringent requirements. 4 <br /> This notification Is fo o mation purp only. <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE /SIGNATURE <br /> O NAME: <br /> DISPOSAL RECYCL NG FACILITY <br /> ADDRESS: <br /> DK-DIXON O RAMOS ENVIRONMENTAL SERVICE CITY/ST: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 PHONE: <br /> 707.693-6008 916-371-5747 <br /> EPA#CAT080012602 EPA 7f CAD044003556 EPA#. <br /> MPC(10row) <br /> 91,A 9ZLL-6£Z-60Z 1PueS USA d1o6eJO 899:60 Ol 40 PO - <br />