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AMERICAN VALLEY DECEIVE® ASR 2 5 2007 r <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 7 2 1.0 2 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> TUF311 BOY TRAI ?JERS `?IjFf` BOY TRAIT EPS <br /> STOCT,70I4, CA 95.1.,0 KANTECCA.. t-A 95.13 <br /> Phone Customer P.O. Payment Terms `ale';"•e' : StERA# <br /> 209-239-1361 'S Net. :J0 I <br /> WASTE -)ay <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 ('�)f� -r 1 ; �:; ( �� 55 <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 /> --CYCLED ANTIFREEZE N/A <br /> ,,,,.1N HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> I hereby certify that I have not mixed 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 P.C.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over TOTAL ' <br /> 1000 P.P.M.total halides,or containes any P.C.B.'s. - <br /> DRIVER GENERATOR AUTHORIZED t <br /> 1 <br /> 'SIGNATURE ,' SIGNATURE SIGNATURE J <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE.CUSTOMER AlRoa TO ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. J 1\ <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 me <br /> tate facilities that process used oil also meet those requirements, engineering certifications ofet those more stringent requirements, and some out-of- <br /> aik 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 fdral used oil anagement standards and not these more <br /> stringent requirements. <br /> r <br /> This notification is for information-purposes only. <br /> Driver signed4 Date C i—1 - Generator signed Date > <br /> By signing the invoice the generator certifies that the generator has establisheda program to reduceNde volLYne or quantity and toxicity of the hazardous <br /> erste 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 /> their waste has been transported to a license treatment or transfer facility. <br /> _ ..DISPOSAL / RECYCLING FACILITY <br /> CY 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 4 CALOO( 316 916-371-5747 • E CAD044003556 <br /> MPC(10/200 <br />