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AmimCAN VALLEY 4 6 311 <br /> *!tCYCLE WASTE OIL, INC. Invoice Number: <br /> P. O.Box 340 • Delhi, CA 95315 <br /> PH. 1-800.-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 _ <br /> r i <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> Phone Customer P.O. Payment Terms' j ! j EPA# <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 <br /> TRINITY HEAVY DUTY 50/50 <br /> ECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREESTO PAY ALL LEGAL FSS IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOTAL <br /> DRIVER _ f% _ GENERATOR <br /> SIGNATURE 'rte " SIGNATURE <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 acci- <br /> dental 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 strin- <br /> gent requirements, I --` �... I-, <br /> This notification is for'fi�rinatio purposes only. <br /> Driver signed ! «G--��_J Date Generator signed ' Date <br /> By signing the my ice the 6nerator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the degiee,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 /> at their waste has been transported to a license treatment or transfer facility. <br /> �S _ DISPOSAL/ RECYCLING FACILITY <br /> V 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 N CAL000190816 916-371-5747•EPA If CAD044003556 <br />