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i <br /> AMERICAN VALLE " ' 999 <br /> 1EIVEL <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-388&N 2 4 2015 <br /> CAL000827878 _ <br /> ENVIRONMENTAL !i <br /> BILL TO: `ME SAW JOB SITE:ACME 14 T�r CD00TgA C"I'T <br /> Invoice Date: <br /> `204 E.MAIN k 214 N.S OkCRAMENTO S T <br /> STOCKTON,CA 9520 1-001,a it 95240 <br /> 3M OIL <br /> Sales :Nhert Kelt <br /> Phone Customer P.O. Terms I EPA# 1- <br /> si3 Net 30 F- lys GAL000316U56 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 3 <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 Aniifreeze <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 -7 <br /> becomes necessary to collect this invoice. ...� v <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 PRM;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 PC.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 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 <br /> GENERATOR/ <br /> �!f / ? f;, ;° AUTHORIZED - ! <br /> SIGNATURE f ,Ap,,,., ;;f"r,. DATE J i �%'SIGNATURE: DATE n <br /> r. <br /> O "AME: <br /> DISPOSAL% RECYCLING FACILITY ✓ <br /> ADDRESS: �O DK-DIXON <br /> O RAM1515 S UTHENVRIVER <br /> R AL'SERVICE <br /> CITY/87: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 _ 916-371-5747 <br /> EPA#, EPA#CAT080012602 EPA#CAD044003556 <br /> MPC(4/2010) <br />