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AMERICAN VALLEY 50294 WASTE OIL, INC. Invoice Number: P. O. Box 340 • Delhi, CA 95315 PH. 1-800-732-4645 • FAX 209-668-3880 EPA. CAL000827878 Invoice Date: BILL TO: JOB SITE: PALMS GAS I'.O. BOX 35-1 n"7 i2 WATER ,CO RlL =OD?, ','A Q5__141 STCY.- TDN, CA Sales Rep: Steve Phone Customer P.O. Payment Terms EPA# 209-931-3570 Net 30 Days CAC002585617 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE USED OIL NON RCRA HAZARDOUS WASTE LIQUID 221 USED AUTOMOTIVE ANTIFREEZE, NON RCRA HAZARDOUS WASTE LIQUID 343 OILYWATER, NON RCRA HAZARDOUS WASTE LIQUID 221 TRINITY HEAVY DUTY PREMIX - RECYCLED ANTIFREEZE N/A NON HAZARDOUS WASTE LIQUID TRUCK TIME N/A L/ GREASWEEP N/A I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that 4 the waste does not contain any RC.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over - 1000 P.P.M.total halides,or containes any P.C.B.'s. TOTAL DRIVER . GENERATOR/AUTHORIZED SIGNATURE - SIGNATURE/ SIGNATURE TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEE IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. 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 with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of- state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and 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 stringent requirements. This notification is for information purposes only. - Driver signed -of= Date - '�-Generator si ned Date By signing the in ice' the generator certifies that the generato` YhAs established a program to reduc the volume dr quantity arfd toxicity of t e -aa ous waste to the degree,as determined by the generator,to be economically practicable. By both parties signing this invoice it will serve as an agreemegttbat American Valley will submit confirmations for(certain waste streams)to the generator that their waste has been transported to a license treatment or tfamPer facility. DISPOSAL/ RECYCLING FACILITY O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 209-863-8181 •EPA#CAL000190816 916-371-5747•EPA#CAD044003556 MPC(10/2004)