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AMERICAN AN V ALLEY 10.7431 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> CAL000827878 ,. <br /> SILL TO:ARCO AMpM JOS SITE:ARW AMPM Invoice Date: <br /> 11fl0 S.MAfN 1100 3,MAIN <br /> MANTECA,CA 95337 MANTECA, CA 95.337 <br /> Sales Rep: <br /> Customer P.O. Terms EPA# <br /> P'286-825-b-784J'F.SS4E C.Q D. GALOCp431 X07 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON RCRA Waste Liquid Used Oily Water <br /> NON Hazardous Waste Liquid ., n in <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <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 <br /> becomes necessary to collect this invoice. wit ! <br /> other <br /> that <br /> ess than 1000 PPM;and that <br /> ccontainiany P.0 B's.el flu thertagree to accept not idtheladdiittional charges for legal disposal if the awaste ss�ovare er P.Rm.total halides,or contain waste <br /> P.C.6'S t <br /> Generator's Certification: By signing I certify that I nave 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 /> il <br /> be <br /> to a facility <br /> at is <br /> American Valley Waste Oil applicable to mrat <br /> ai advises the of used o 1,but at is not requrs ired oncomply t of ewiitth heymore stringent edreq irementshappl cable odhazardopus <br /> with federal regulations app to meet <br /> staste ate facilities that management facilities. <br /> a cilesssusedfOm alsociliti es ththat <br /> handle <br /> om rocess use enginaeong rcert cations o lank those{ grityeantd fn anc ant 9 assurances for closure <br /> l and some eutand <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 /> GENERATOR/ / <br /> :/� `� e-: �. AUTHUHIZEO ,•�-`-;i�'tGI�.�G DATE: �,.�'��/ �� <br /> DRIVER ��✓ J� DATE' .. ''7 SIGNATURE- <br /> AT <br /> IGNATURE: <br /> SIGNATURE'; <br /> ` DISPOSAL; I RECYCLING F <br /> O NAME: DISPOSAL <br /> i <br /> ADDRESS: 'Q DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> CITY 5T: DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> 707-693-6008 916-371-5747 <br /> PHONE: EPA CAT080012602 EPA it CAD044003556 <br /> I EPAA- <br /> ! MPC:(4P2U1C <br />