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AMERICAN VALLEY 42136 <br /> RECYCLE <br /> • WASTE OIL, INC. • Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> 1.'i <br /> I <br /> ' I Inviie Date. <br /> BILL TO: JOB SITE: <br /> OF STOCI TON <br /> JIM TIIORPE OIL INC. CTY <br /> P.J. SOX 357 423 ,N. .NADI50N C �G' J <br /> LODI, Cie 957.47. �TOC'K N, CA9. � <br /> ,a <br /> v <br /> 1T•4�L1 <br /> A <br /> eV <br /> Phone Cunmew0. ;2ajmn rtor�,rr��1�' / ' EPA# <br /> 209-462-4531 I ! t r Ito Lays CAC0025757I <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 Gil ' <br /> TRINITY HEAVY DUTY 50/50 <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A ' <br /> GREASWEEP ;; N/A <br /> I <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES �J <br /> TO PAY ALL LEGAL FEES IF COURTACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOTAL !' � <br /> DRIVER GENERATOR / <br /> SIGNATURE SIGNATURE o/9 <br /> American Valley Waste Oil hereby adviseshove enerator the Generators shipment of used oiltfiat be transported to a facilitVthat is required to comply <br /> with federal regulations applicable to management of sed oil,but that isnot required to comply witlS the more stringent requirements applicable to hazardous <br /> waste management facilities.California fbicilities that handle or process used oil are required tor'meetose mor stringent requirements,and some oubof- <br /> state facilities that process used oil also meet those requirements,engineering certifications of tank int+grity,and1financial assurances for closure and acci- <br /> dental releases. It is lawful to send used oil`to out-of-state facilities that comply only with feder=olume, <br /> ds and not these more strin- <br /> gent requirements. -— -- - . <br /> This notification is for information purposes only. <br /> Driver signed i .r1--' � /Date -? _! Generator signedDate <br /> By signing th n� h r for rtifres that the g atortras est lished a program tond toxi of ^ a2ar ous <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for( rtain waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. 11 <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVER13ANKOILTRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691 <br /> 209-863-8181 •EPA#CAL000190816 916-371-5747•EPA#CAD044003556 <br /> MPC 1412007 <br />