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AMERICAN VALLEY 9 4 87 5 <br /> WASTE OIL, INC. H(ICononvoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 v <br /> PH. 1-800-732-4645 • FAX 209-668.3880 41 It'. 0 2,2010 <br /> BILL TO: EPA. CALOOD827878 ENVIIWENT .) f C1 <br /> JOB SITE: Invoice Date: <br /> J C AUTO J C AUTO PERMIT/SERVICER <br /> 1630 N WILSON WAY 1630 N.WILSON WY <br /> STOCKTON,CA 95206-4098 STOCKTON, CA 95205 <br /> X' HARNEY <br /> Phone Customer P.O. Term EPA# es pre x <br /> >� �U <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANI 1 QUANTITY AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 n ! b � �Tj� Z —V L <br /> NON-RCRA Waste Liquid Used Antifreeze 133 Y ! ✓'� <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Recycled Antifreeze <br /> Trinity Extended Life premixed Recycled 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 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 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 f n or ation p rpo nly. - <br /> DRIVER GENERATOR AUTHORIZED _ <br /> SIGNATURE SIGNATURE /SIGNATURE <br /> DISPOS/�A�� RELY ING FACILITY O NAME G% <br /> -QUK-DIXONADDRESS: <br /> O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: <br /> 707-693-6008 <br /> 916-371-5747 <br /> EPA If CAT080012602 EPA#CAD044003556 EPA#: <br /> MPO(10120091 <br />