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AMERICAN VALLEY <br /> Invoice Number:WASTE OIL, INC. <br /> P. O. Box 340 * Delhi, CA .95315 <br /> 11AN11EST OOK i <br /> PH. 1-800-732-4645 - FAX---269rd8-3880 <br /> " f., B <br /> F--PA. CALOW827878 <br /> BILL TO:TOFF BOY TRAILERS JOB SITE:TUFF BOY 'FRAJILERS Invoice Date:. <br /> 3p,70 VV.YOSIMITE 5151 E.ALMONDWOO1.) <br /> STOCKTON.CA, 85330 MANTECA, CIA 95336 <br /> S:aies Rtn <br /> Phone --TM — Customer P.O. Terms— EPA#Net 30 "AL t. <br /> 209-239-1361 JOS Days <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> I ; �---,>i <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 /> ity Case Goods A PROVED <br /> uck Wash Out I C <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 ILA. <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 th4n 1000 RRM;and that the waste does not <br /> contain any RC.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 RPM.total halides',or contains any RC.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 isfor inf maN' npurposps only. <br /> DRIVER GENERATOR AUTHORIZED <br /> E <br /> M E <br /> SIGNATURE SIGNATURE SIGNATURE <br /> DISPOSAL' I I—R-E I LING FACILITY 0 NAME: t <br /> alp. <br /> ADDRE S:_ <br /> —'(0 DK-DIXON 0 RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ <br /> DIXON, CA 95620 W.SACRAMENTO.CA 95691 PHONE: <br /> 707-693-6008 916-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 EPA#: MPC 110120091 <br />