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OAMERICAN VALL AEIVEP, 176223 <br /> WASTE.nrL, INC. nvoiceNumber: <br /> P.O. Box 340 • Delhi, CA 95315 .JUN 2 4 2015 <br /> PH. 1-800-732-4645 • FAX 209-668- <br /> CAL000827878 IRONMENTa2 f� <br /> .... .. .. Nim ru nconur��cntr L ..: --. <br /> BILL TO: ACME SAW JOB SITE: ACME SA VV Invoice Date: <br /> 1204 E.MAIN 214 N. CRAMENTO ST. <br /> STOCKTON.CA 95206 LODI,CA 95240 <br /> 3M OIL <br /> i <br /> 1 Sales Ren Alhprt wmii�� <br /> Phone Customer P.O. Terms EPA# <br /> 209-948-6735 DIANA I I Net 30 Das CAL000316056 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST , QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 �1YJ 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 Antifireeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 3o Days are subject to a 1.5%service charge. Customer agrees to pay all legal.:fees if court action TOTAL OD <br /> becomes necessary to collect this invoice. 1 <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 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.)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 Vbmit 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 mhy 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 th'e more stringent requirements applicablato 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 /> t <br /> GENERATOR/ <br /> DRIVER �y�/ AUTHORIZED <br /> SIGNATURE:d"/ 4'4, DATE:DATE: % SIGNATURE: �.' DATE: ) <br /> O NAME: . _ <br /> DISPOSAL /,-/ RECYCLING FACILITY <br /> ADDRESS: X'J DK-DIXON 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 916-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 <br /> EPAN: <br /> MPC(4/2010) <br /> I <br />