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TO: VALLEY TOW PROD <br />1313 S. STOCKTON <br />LODI, CA 9521116 <br />AMERICAN VALLEY'- <br />105101 <br />WASTE OIL, INC. <br />Invoice Number: <br />P. O. Box 340 • Delhi, CA 95315 <br />WASTE <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />QUANTITY <br />CAL000827878r <br />AMOUNT <br />VALLEY TOW <br />12 � ZU ~ l <br />PROD <br />JOB SITE: 1313 S.STOCKTON <br />DIXON, <br />DIXON, CA 95620 <br />LODI,CA 95206 <br />Invoice Date: <br />Sales Rep: 14cr <br />P <br />Customer RO. <br />Ter <br />EPA# <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />7300 CHEVRON WAY <br />CODE <br />PHONE. <br />DIXON, <br />DIXON, CA 95620 <br />W. SACRAMENTO, CA 95691 <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />00 6 r& irw <br />5-3 <br />/L//c <br />^1T <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />y <br />NON-RCRA Waste Liquid Used Oily Water <br />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 />I <br />i <br />TE RMS: Invoices over 30 Days are subject to a 1.5% service charge. customer agrees to pay all legal fees if court action <br />becomes necessary to collect this invoice. <br />TOTAL t <br />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 />=any <br />contain any P.C.B's. I further agree to accept the additional charges for legal disposal it the waste is over 1000 P.P.M. total halides, or contains any PC. B's <br />Generators 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 1. <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 i <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 procese fused oil also meet those requirements, engineering certifications of tank integrity, hnaneial <br />and assurances for closure and <br />accidental releases. It is lawful I to send used oil to out-of-state facilities that comply only with federal used oil <br />stringent requirements. management standards and not these more <br />This notification is for information purposes only. <br />GENERATOR( <br />DRIVER %� Jj _,f AUTHORIZED j jf <br />SIGNATURE: DATE: 1" <br />V�" SIGNATURE: DATE: <br />O NAME: <br />DISPOSAL/ RYCLIN <br />FACILITYv <br />ADDRESS: <br />DK•DIXON <br />0 RAMOS ENVIRONMENTAL SERVICE <br />cmYrsT: <br />7300 CHEVRON WAY <br />1515 SOUTH RIVER ROAD <br />PHONE. <br />DIXON, <br />DIXON, CA 95620 <br />W. SACRAMENTO, CA 95691 <br />918-371-5747 <br />EPA#: <br />EPA # CAT080012602 <br />EPA # CAD044003556 <br />MPC (ai2ar.. <br />