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AMERICAN VALLEY 85795 <br /> WASTE OIL, INC. Invoice Number: <br /> if A-119 P. 0. Box 340 • Delhi, CA 95315 <br /> 11// PH. 1-800-732-4645 - ,-SAX 209-668-3880 <br /> `yeti,: v /� EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> TlJIFF BOY TRAILERS TUFF BOY TRAILERS <br /> 3870 W. YOSIMITE 5151 E. ALMONDWOOD <br /> S T OCKTON, CA 95330 MANTECA, CA 95336 <br /> Phone Customer P.O. Payment Terms Ata P* Steve <br /> t -Al <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS 7 i j <br /> WASTE LIQUID 221 �30��I?�� � �J <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID, 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> "rCYCLED ANTIFREEZE N/A <br /> .)N HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trio 4 Extended Life Premix recycled`Antifreez <br /> I hereby certify that I have not mixed this waste with any other aste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not contain any P.C.B.'s.I further agree to acce -the additional charges for legal disposal if this waste is over TOTAL` <br /> i:� <br /> 1000 P.P.M.total hall containes any P.C.B.'s. i• <br /> DRIVER GENERATOR <br /> SIGNATURE SIGNATURE/AUTHORIZED <br /> SIGNATUREnJ <br /> TERMS: INVOICOVER 30 YS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOME GRE S PAY AL LEGAL FEES IF <br /> COURT ACTIONE BECOMES NECESSARY TO COLLECT THIS INVOICE. <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 fed ral used oil management standards and not these more <br /> stringent requirem j <br /> This notification ism' or tion firposes only. /� ' <br /> Driver signed <br /> Dat eG Generator signed Date <br /> By signing the i.9oice t g nerator certifies that the generator has established a program to red e the Jo ume or quantity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. r <br /> both parties signing this invoice it will serve as an agreement that American Vall�u w �abr � �rations for(certain waste streams to the generator <br /> I their waste has been transported to a license treatment or transfer facility. C7' (` L,7� 2•-7 <br /> 77 <br /> DISPOSAL / RECYCLING FACILITY �f: ,�.v <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 it CAL00r '816 916-371-5747•Er ° CAD044003556 <br /> MPC(10/200 <br />