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AMERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 e Delhi, CA 95315 <br /> PH. 1-8[00-732{�-4(6�4�(5}�i•!yFAyX--t09-668-3880 <br /> EPA. t,;AL s.Jt30.8278 8 <br /> BILL TO:TUJOB, SITE:, Invoice Date: <br /> i'F;30Y TRAILERS) I"U�I'�St.3�f !f?a�tLEE:S <br /> 3870 W.YOSIMI fE 5351 E.ALMONDVVOOL) <br /> STOCKTON,CA 95:330 MAN ECA; CA 95336 <br /> Sal es Rep:St we <br /> Phone Customer P.O. Terms EPA# <br /> 209-2349-1361 JO` iH Net 30 Nys (�A 1-0(3021 i 7 78 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <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 /> rinity 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 requirement!.,— <br /> This notification is for infonat'�ri:Durposes only. <br /> DRIVER GENERATOR/AUTHORIZED <br /> t �- <br /> SIGNATURE SIGNATURE i SIGNATURE <br /> 11 nISPOSAL / RECY6LING FACILITY O NAME: <br /> -'"()-75K-DIXON O RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 PHONE: <br /> 707-693-6008 916-371-5747 <br /> EPA#CAT080012602 =PA# CAD044003556 EPA#: <br /> MPC(1012009) <br />