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AMERICAN VALL <br /> WASTE OCL, INC �� Invoice Number: <br /> ! <br /> P. O. E)oz--340 • Delhi, CA 95315 JUN 2 4 2015 <br /> PH. 1-800 732-4645 • FAX 209-66RONMENTAL. <br /> CAL000827878 f r�,T�r �D10TARCprT' <br /> BILL TO:ROME SAW JOB SI'Z'E:ACME W Invoice Date: <br /> 1204 E.MAINI 214 N.S CRAMENTO ST. <br /> STOCKTON,CA 95208 LODI,CA 95240 <br /> 3M OIL <br /> Sales Rep:Albert Kettjng <br /> Phone ,.i$_6735 DIANA Customer P.O.11 Teri Days EPA#CAL000316056 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFESI QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used.Oil/Mixed Oils 221 '16 J-�I' Z - J(c <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> I <br /> NON-RCRA Waste Liquid Used ily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life prerhixed Antifreeze <br /> rrinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over30 Days are subject to a 1.5%service charge. Customer agrees to pay all leg I fees N court action TOTAL <br /> becomes necessary to collect this invoice <br /> By signing I herby certify that I have not rpixed this waste with any other waste,that the total halideE are less than 1000 RPM;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 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 r riay 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 t ne more stringent requirements applicable to hazardous <br /> waste management facilities.California facilities that handle or process used oil are required to met 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 informtion purposes only. <br /> `F GENERATOR/ <br /> DRIVER �� f/ x t y /;' / AUTHORIZED <br /> SIGNATURF /; �.�.!rf,/' 'rr�tif.� DATE -��/%_ SIGNATURE: DATE: <br /> O NAME: DISPOSAL / RECY LING FACILITY <br /> ADDRESS: DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> CITYIST: 7300 CHEVRO WAY 1515 SOUTH RIVER ROAD <br /> DIXON,CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 916-371-5747 <br /> EPA.#CAT0800 2602 EPA#CAD044003556 <br /> EPAN' <br /> MPC(4/2070) <br />