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9 AMERICAN VALL FCE IVED10 7 0 6 5 <br /> WASTE OIL, INC. JUN 2 4 2015 Invoice Number: <br /> P.O.Box 340 •,Delhi, CA 95315. A' <br /> PH. 1-800-732-4645 • FAX 209-660 IRONMENTA L J <br /> CAL000827878 " 'Tuntoao'nt#i NIT j t, <br /> 'A <br /> BILL TO: ACME SAW JOB SITE: ACME SAW Invoice Date: <br /> 1204 E.MAIN 214 N.SACRAMENTO ST. <br /> STOCKTON,CA 95200 LODI,CA 95240 <br /> 3M OIL <br /> Sales Rep:Afberf Kelfing <br /> Ph26g-948-6135 DIANA Customer P.O. Ter q& 30 Guys EPA#CALOW316056 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221kA 1 00 <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 Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> 1 <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 /> �. <br /> becomes necessary to collect this invoice. ..,3 <br /> By signing 1 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 /> 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 practi6ble. - - <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 alicensed 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 for information purposes only. <br /> DRIVER ' GE ERAT D / <br /> SIGNATURE: -r, -�.,,�. DATE: �; " IGNATURE: DATE: <br /> O "NAME' ' ' DISPOSAL/ RECYCLING FACILITY <br /> ADDRESS: DK-DIXON <br /> O RAMOS ENVIRONMENTAL SERVICE <br /> CITY/ST: 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 If CAT080012602 EPA#CA0044003556 <br /> MPC(4/2010) <br />