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AMERICAN VALLEY <br /> a WASTE OIL, INC. InvoiceNumber <br /> P O Box 340 - D, m, CA 95315 <br /> PH 1-800-732-4645 • FAX 209-668-3880 <br /> EPA CAL000827878 <br /> Invoice 17«ic <br /> IBILI.TO: j 0 B t, <br /> - <br /> Phone Customer P O Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE CODE MANIFEST QUANTITY PRICE AMOUNT <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 _ <br />' NITY HEAVY DUTY 50/50 <br /> YCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br />' TRUCK TIME NIA <br /> GREASWEEP NIA <br /> 1 <br /> T-- <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL <br />' DRIVER GENERATOR <br /> SIGNATURE `r SIGNATURE <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 acci- <br /> dental releases It is lawful to send used oil to out-of-state facil,ties that comply only with federal used oil management standards and not these more <br /> strin-gent requirements w <br /> This notification is for informatlbn purposes only <br /> Driver signed I S, <br /> __ Date _ Generator signed _ ` _' i [date <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the degree, as determined by the generator to be economically practicable <br /> B both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> eor waste has been transported to a license treatment or transfer facility <br /> DISPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER 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(412003) <br />