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AMERICAN VALLEY* <br /> WASTE OIL, INC. Invoice Number: <br /> R O. Box 340 • Delhi, CA 95315 73441 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Inv ice Date: <br /> BILL TO: JOB SITE: <br /> STOCKTON 51rC STATION SAN JOAQUIN REG TRANSIT <br /> P.O. BOX 508 1533 E. LINDSEY <br /> STOCKTON, CA 95201 STOCk"TON, CA 95205 <br /> Phone <br /> 715� <br /> mter P.O. Payment Terms EPA# <br /> 09-464-8333 MIKE )5 'tAD059999310 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 D „yrL <br /> G &;LO <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> Y <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trintiry Extended Life Premm rerycied Aft dr ze <br /> FUEL SUR CHARGE $5.00 <br /> 1 hereby 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 <br /> the waste does not contain any P.C.B.'s.I further agree to accept the additional charges for legal disposal if this waste is r TOT <br /> 1000 P.P.M.total halides,or containes any P.C.B.'s. <br /> DRIVER GENERATOR AUTHORIZE c <br /> SIGNATURE SIGNATURE/ SIGNATURE <br /> TERMS: INVOICES OV0 30 D4.4 ARE SUBJECT TO A 1.5%SERVICE CHARGE. CUST9fME1R AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BEC ES NECESSARY TO COLLECT THIS INVOICE. <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 arances for closure and <br /> accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used o' anagemen ndards and not these more <br /> stringent requirements. <br /> This notification is for info ti ur s onl , <br /> Driver signed Date / Generator signed ! 'I^ �'- 7 Date / 1 <br /> By signing the invoice theWenVator certifies that the genetafor haslest4blished a program to dyc a volume or quantity and toxicity o the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. 0 ,t1 <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 /> 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 /> MPC 110rzW41 <br />