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"/ `6/rAMER1CAN VALLEY <br /> 1ECEIVED APR 3 0 ?P07 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box Delhi, CA 95315 2 17 1 <br /> PH. 1-800-732-4645 �-"FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> TUFF BOY TRA-ILER, b0v M!LERS <br /> 3870 W. YOSIMITE E. .71-UT014DW001.) <br /> STOCKTON, CA 95:330 VIANTECA, CA 9-1336 <br /> Phone Customer P.O. Payment Terms St&PA# <br /> Ner �O Daym <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 221 600�c2 To <br /> TRINITY HEAVY DUTY PREMIX <br /> 'ECYCLED ANTIFREEZE N/A <br /> ON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trinfiry Fidended I ife Premix rmycled Ardit. <br /> R I Ell 211 R CH A R C4�� <br /> - - 7- <br /> 1 hereby certify that have not this waste,with any other waste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not contain any RC.EL . I further agree to accept the additional charges for legal disposal if this waste is over <br /> 1000 P.P.M.total halides,or containes ftny P.C.B.'s. TOTAL -Z_? <br /> D! GENERATOR/AUTHORIZED <br /> SIGMA:. 'RE SIGNATURE/ SIGNATURE <br /> TERMS: INVOICES OVEdDN"S ARE SUBJECT TO A 1.5%SERVICE CHARGE. CUSTOMER AG�WA-k'PAY ALL LEGAL FEES IF <br /> COURT ACTION 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 ro6tflations 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 manag6ment standards and not these more <br /> stringent requirements. <br /> This notification is or purposes only. <br /> Driver signed Date <br /> "7C Generator signed <br /> By signing the inv"oYie the generator certifies that the generator has established a program to e e tbeC y and v e o and toxicity of the hazardous <br /> i-aste to the degree;;as determined by the generator,to be economically practicable. <br /> ,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 /> ,at their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> A&RIVERBANK OIL TRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD-RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD-W. SACRAMENTO, CA 95691 <br /> 209-863-8181 - EPA#CALO '0816 916-371-5747• #CAD044003556 <br /> MPC(10/2( <br />