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j AMERICAN <br />WASTE ®ILT INC.EY Invoice e��mber: <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />..-2 D <br />Invoice Date: <br />BILL TO: PACIFIC TOWING JOB SITE: PACIFIC TOWING <br />1.444 EL PINAL OR 1444 El- FINAL DR <br />TOCKTON, CA 95205 ONE TANK IN YARD & ONE IN SHOP <br />STOCKTON, CA 952(.6 <br />2VtWK ANF <br />Fa <br />bL,. <br />Sales Rep: <br />R Prgct.. Ir74} MIKE <br />Customer P.O. <br />Paymlet1.5r5sEPAIkAi.C1041 <br />157 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />3432 <br />- <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />' <br />7:7 <br />o <br />RECYCLED ANTIFREEZE <br />N/A <br />; ,.nt' : ; <br />111,11 <br />v <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />,-d Lite Premix recycled Aritifreez <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 wast! Is over <br />II;t' <br />1000 P.P.M. total halides, o contains any P.C.B1s. Tor <br />} <br />DRIVER s'"Y GENERATOR AUTHORIZED -' <br />SIGNATURE,, ' --' SIGNATURE SIGNATURE <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECTTO A 1.5% SERVICE CHARGE. CUSTOME GREE`S TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECTTHIS 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 />r th federal regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous <br />w,ste management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br />std-, facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br />acct@ntal 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 />stringot requirements. <br />This ndfication is for information purposes only. <br />Driver siged Date Generator signed Date <br />By signing he 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 thelegree, as determined by the generator, to be economically practicable. <br />By both partiO 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 wash -has been transported to a license treatment or transfer facility. <br />DISPOSAL / RECYCLING FACILITY <br />O DK'OIXON O RAMOS ENVIRONMENTAL SERVICES <br />730(,CHEVRON WAY • DIXON, CA 95620 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />800-77-2879 • EPA # CAT080012602 916-371-5747 • EPA # CAD044003556 <br />MPC (ul2mq <br />