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AMERICAN VALLEY 92286 <br /> } 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. CALOOD827878 _ 0 <br /> BILL TO: JOB SITE• Invoice Date: <br /> MANTECA TIRE MANTECA TIRE <br /> 207 W.EDISON 201 W.EDISON <br /> MANTECA.CA 95336 MANTECA, CA 95336 <br /> Phone Customer P.O. Terms EPA# Solos <br /> 209-239-3558 GREG Net 30 Days <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE t° <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 Dc7�3Ss`xIDFc� ��D /�� A//C <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 1.5%service charge. Customer agrees to pay all.legal fees if court action - TOTAL <br /> becomes necessary to collect this invoice. /V' J <br /> / <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 P.C.B'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.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 parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <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. <br /> This notification is to rmatio pur ores only. <br /> DRIVER I GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE /SIGNATURE ( ; <br /> DISPOSAL RELING FACILITY O "AME: <br /> CY <br /> -Q'0r(­DIXON O RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 W.SACRAMENTO,CA 95691 PHONE: <br /> 707-693-6008 916-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 EPA#: <br /> W00"009) <br /> 9l'd 8ZLL 6EZ 60Z 1pueS ueA 1U08eJ0 BL560 Ol b0 PO <br />