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AMERICAN VALLEY 42102 r, WASTE OIL, INC. R ECYCLE Invoice Number P O Box 340 • Delhi, CA 95315 • PH 1-800-732-4645 • FAX 209-668-3880 EPA CAL000827878 Invoice Date BILL TO: JOB SITE: GROUND ZERO ANALYSIS INC SOUZA REALITY 173 4 MIN ST 612 V. 11TH ST ESCALON, CA 95320 TRACY, CA Phone - Customer P O Payment Terms EPA# 838-9888 Net 30 Days w PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE USED OIL NON RCRA HAZARDOUS WASTE LIQUID 221 USED AUTOMOTIVE ANTIFREEZE, NON RCRA HAZARDOUS WASTE LIQUID 343 OILY WATER, NON RCRA HAZARDOUS WASTE LIQUID 221 T TY HEAVY DUTY 50/50 RMWCLED ANTIFREEZE NIA NON HAZARDOUS WASTE LIQUID o) 1.0b 3Ci )b TRUCK TIME N/A GREASWEEP N/A TERMS INVOICES OVER 34 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES TO PAY ALL LEGAL FEES IF COURTACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL t DRIVER GENERATOR SIGNATURE / SIGNATURE American Valley Waste Oilhereby advises the above Generator the Generators shipment of usefoil may be transported to a facility that is requirbd to comply with federal regulations applicable to management of used oil,but that is not required to comply ith the more stringent requirements applicable to hazardous waste management facilities California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of- state facilities that process used oil also meet those requirements,engineering certifications of tank integrity,and financial assurances for closure and acci- 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- gent requirements This notification is for information purposes only Driver signed ' Date `r �_o - s✓Y Generator signed f r-e'it �9v�J_ By signing the invoice the generator certifies that the generator has established a program t educe the volume or quantity and toxicity of the hazardous wast to the degree,as determined by the generator,to be economically practicable B parties signing this invoice it will sere as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator th a waste has been transported to a license treatment or transfer facility ; t DISPOSAL/ RECYCLING FACILITY O RIVERBANK OILTRANSFER O RAA O S ENVIRONMENTAL SERVICES 5300 CLAUS ROAD• RIVERBANK,CA 95367 11515t OUTH RIVER ROAD•W SACRAMENTO,CA 95691 209-863-8181 • EPA#CAL000190816 916-371-5747•EPA#CA0044003556 MPG(4/2003)