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AMERIC'AN VALLEY 95666 <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 /> CAL000827878 <br /> BILL TO:MANTECA JOB SITE: fm/o_ <br /> MANTECA Invoice Date: <br /> 201 W.EDISON 201 W.EDISON <br /> MANTECA CA 95336 MANTECA CA 95336 <br /> 4W K OIL <br /> Sales RAP: <br /> P -239-3558 GREG Customer P.O. Te Net 30 Days EPA#CAL000010246 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 ���7 ` <br /> NON-RCRA Waste Liquid Used Antifreeze 133 J <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject <br /> cessary to t <br /> to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL G <br /> becomes necollect his invoice. <br /> By signing I herb 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.E{s. I further agree to accept the additional charges for legal disposal if the waste is over 1000 PP.M.total halides,or contains any P.C.B's <br /> Generator's 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 out-of- <br /> f <br /> nce assurances for closure and <br /> stringent requirements. <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 /> This notification is for information purposes only. <br /> GENERATOR/ <br /> DRIVERAUTHORIZED <br /> r J /�/� <br /> SIGNATOR - DATE: / 10 SIGNATURE: PATE; <br /> O NAME: DISPOS / RECYCLING FACILITY <br /> ADDRESS: DK-DIXON <br /> O RAMOS ENVIRONMENTAL SERVICE <br /> 1515 <br /> CITY/5T: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 <br /> 916-371-5747 <br /> EPA#: EPA#CAT080012602 EPA If CAD044003556 <br /> MPC(42010) <br /> OZ'd 9ZLL-6£Z-60Z IPUBS USA dlO6eJ0 e00:0L OL 170 ]c0 <br />