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a AMERICAN VALLEY 0 i l,48 0 8 <br /> WASTE OIL, INC. Invoice Number: <br /> P.O. Box 340 • Delhi, CA 95315. <br /> PH. 1-800-732-4645 •;FAX 209-668-3880 RECD JUL 212015 <br /> CAL000827878 `� 13 <br /> ILFJ�LE.ASEO,= STOCKTON,INC. IDEALEASE 7 <br /> BILL TO:1137 S.8TOCKTONST JOB SITE:1137 Invoice Date: <br /> STOGKTON,CA 95206 STOCKTON, CA 95206 <br /> 1 WK SCH <br /> Sales Rep:Steve <br /> P Customer P.O. Ter30 Days f"A.1 UQU344Ul ms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water223 c i <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 /> Truck Time <br /> TERMS: Invoices over30 Days are subject to a 1.5%service charge.-Customer agrees to pay all legal fees if court action .TOTAL d.' <br /> becomes necessary to collect this invoice. - - ✓t"�' <br /> By signing I herby certify that I have not mixed this waste with any other waste,that the total halidesare 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 ofhazardous 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 isnot 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 federalused:oll management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes only. <br /> GENERATOR/ f �� <br /> DRIVERAUTHORIZED DATE: <br /> SIGNATOR ATE: '� SIGNATURE: 7 <br /> O NAME: DISPOSAL/ RECYCLING FACILITY <br /> ADDRESS: DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> CITY/ST: DIXON,CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: . - -707-693.6008 916-371-5747 <br /> EPA#: <br /> EPA#CAT080012602' EPA#CAD044003556 <br /> � - - . . <br /> -. <br /> MPC(42010) <br />