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AMERICAN VALLEY 63431 <br /> WASTE OILS 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 /> Invoice Date: <br /> BILL TO: JOB SITE- AGo <br /> 9 j <br /> Phone Customer P.O. Payment Terms &EPA#PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUAMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS ( - <br /> WASTE LIQUID 221 g't/42 EL <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 /> I k6reby certify that I have not mixed this waste with Qf 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 agpde to accept the additional charges for legal disposal If this waste is over TOTAL <br /> 1000 P.P.M.total halides,or con es an PP.Bs. <br /> DRIVER !r- <br /> GENERATOR AUTHORIZED ,?� <br /> SIGNATURE - SIGNATURE/SIGNATURE 1 <br /> TERMS: INVOICE OVE 0 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL EGAL 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 oll 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 Informalicin purposes only. _ .• � _ <br /> Driver signed ��— ...�"`Date - norator signed t.. l� ( bate <br /> By signing the invoic a rie�ator ceffidles that the ge atR has esfabl ad a program to re uce the v( or quantitg ntl toxlGdy of the hazardous <br /> waste to the deg r es 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 /> IVERBANK 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#CAL000190816 916-371-5747•EPA#CAD044003556 <br /> MPC(1012004 <br />