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Apr 0411 03:35p hp off icejet 4500 12099380680 p.1 <br /> *AMERICANVALLEY"X': , - $ .5 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 * Delhi, CA 95315 APR 04 2011 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> SN <br /> rA <br /> CAL000827878 �' ' COUNTY <br /> t a.Li I I G!�n ji1 NT r <br /> SILL TO: JOB SITE: Invoice Date: <br /> I.JI=.FZF`'AUT-D <br /> E r <br /> 3 ,L N,V ES a L,4-.!E�. .:.��i ':{��.d J I LJaIN�. <br /> STocK`€ON, ;'Pi 98-20151 <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil hAixed Oils 221 <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 /> 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 /> becomes necessary to collect this invoice. <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.RM;and that the vraste 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 PPM.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 to>Woityy of hazardous waste generated to the degree I <br /> have determined to be economically practicaQe. <br /> By both parties signing this invoice it will sery%abGenerator <br /> n agreement that American Valley Waste Oil will submit confirmation for(certain waste streams) to the <br /> generator that their waste has been transpo& licensed treatment or,ransfer facility. <br /> American Valley Waste Oil hereby advises the tate 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 far 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 /> GENERATOR/ <br /> DRIVERi AUTHORIZED f <br /> SIGNATURE: DATE: ;' SIGNATURE: DATE/f <br /> O NArAE: DISPOSAL t RECYCLING FACILITY <br /> ADDRESS: O 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 IF CAD044003556 <br /> EFAfi: <br /> MPC(4,2010; <br />