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■ <br />JUL-7-2011 11:54 FROM: 20946e3433 <br />• <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. O. Box 340 & Delhi, CA 95315 <br />PH 1-800-732-4645 - FAX 209-668-3880 <br />CALOODS27878 <br />JOB SITE: <br />f AAI.' A <br />P. 3/4 <br />Ifivoice Number; <br />JAVO(Ce )DW: <br />AwAyv <br />in4 <br />Phpne Zv7 �di, i'l., <br />Cust;-ff-wr A.0, <br />EPA#, <br />7 1 <br />�pg6l)UGT SIFF—PING DESCRIPTION <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />WASTE <br />CODE <br />NON-RCRIA Waits Liquid Used OiVMlxed Oils <br />221 <br />i 1&7RCRA Waste Liquid Used Antifreeze <br />1,33 <br />NON-RCRA Waste Lfquid Used Oily Wator <br />F <br />NON Hazardous Waste Liquid <br />Ze <br />TrInIty Heavy Duty wmixed Antifreeze <br />Trinity EAended Life premixed Antlimezo <br />"I'llinlity.C.Ase <br />-7-1 <br />Goods. <br />Truck Wash. Out <br />Truck Time <br />TERMS� invoices 3� customer agrees to pay a gel fees lifoourfaction <br />are Subject to a 1.5% service charge. <br />TOTA <br />becomes nec sty to Collect this Invoice. <br />=,,glher , rfity, that I have not mored this waste with any other waste, that the total halides are less than I coo pp.m: and that the waste does not <br />any P0.171 further agree to accept the additional charges for logal disposal it the waste is over 1000 P.P.M, total halides, or contains any Rc-ws <br />donaraturs,cartification: by sifning I cortity, that I have a program in place to reduce the volume and laxicityr of hazardOUS, Waste generated to the degree I <br />have determined 16 be econom ( ally practicable., <br />By both parties 61pning this Invotoo it will serve as an agreement met American valley waste ou wilt submit confirmation fo.r.(.cettaln waste streams) to the <br />generator that their Waste has been transported to a licensed froatniont or transfer Wilty. <br />American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facitity, that is requited to Corn* <br />but that Is to Comply With me more stringent requirements applicable to hazardous <br />with federal regulations applicable to rnana ement of used oil, not required <br />waste management facilities. Coillornia facIlititis that handle or process used oil are required to meet these mom strifle, rit requirements, and some out -of, <br />nclat assurances for closure and <br />state facilities that process used oil also meet those requirements, engineering oarifificallorts of tank integrity, and <br />accidental releases, It 16 lawful to send used oil to out-of-state facilities that comply only with federal used all management standards and not these more <br />stringent requirements. <br />This notification is tar information purposes only. <br />GENERATORI <br />DRIVER AUTHORIZED <br />DATE: SIGNATURE -- <br />0 W'Alt:. DISPOSAL I RECYCLIOG FACILEY <br />ClDK-DIXON 0 RAMOS FNVIRoNhoiean SERVICE <br />7300 CHEVRON WAY 1515SOU-TH R1VFR ROAD <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691 <br />PFIONEi 707,093-6008 91071.5747 <br />EPA N' CAT080012602 EPA 41 CADo4003556 <br />EPA#., <br />UM IdAtErfol <br />