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11/12/2007 09:08 FAX 2093633234 GEORGE IiISHIDA INC lij006 <br /> AMERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 - Delhi, CA 95315 76835 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITZ: GEORGE K1.5HIDA !NC.. <br /> GEORGE KiSHIDA INC. <br /> 1725 ACKERMAN 11-25 AC:KERMAN <br /> LODI, CA 95240 LODJ, CA 95240 <br /> X� STOC:KTON ST. <br /> Sales ftp I Felix <br /> Phone Customer P.O. Payment Terms EPA# <br /> 209-368.0603 Net 30 Days CAL0+L^W24252 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS p �- <br /> WASTE:ILIQUID 221 <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 /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trinity Extended Lfe Premix recycled Antifrewil <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 G <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 JJ a <br /> 1000 P.P.M.total halides,or eontaines any P,C,B.'s. <br /> DRIVER :' GENERATOR AUTHORIZED <br /> SIGNATURE _ <br /> SIGNATURE �' �--.�.._ SIGNATURE <br /> TERMS' INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES TO 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 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 requirements. <br /> This notification is for information purposes only. <br /> Driver signed f Date Generator signed f`. ;_ Date <br /> By signing the invoice the generator certifies that the generator has established a program to reduCe the volume or quantity and toxicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By 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 /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> 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 0 CAL000190816 916-371-5747-EPA 5 CAD044003556 <br /> MPC(1012904) <br />