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�AN VALLEY 66411 <br /> 44Z' 011., INC. Invoice Number: <br /> `��ii�y Delhi, CA 95315 <br /> ,, as 30X, 3412 9530- <br /> 5 • FAX 209.668-3880 <br /> 800-73'2-4645 <br /> L000827878 <br /> Invoice Date: <br /> �11 Date- -)i V B SITE: <br /> Soldi 7� ..f y GUZMAN AUTf) REPAIR <br /> Address OC./� �1�3'� W. YOSIMI',TE'. <br /> �X`\UHI()N <br /> AUTOMATICALLY TO ENSURE YOU P'IAN <br /> ' .)CTt• CA 95337 <br /> PRINTED OF ACCURACY <br /> Paym nt Terms Swe'fig =I <br /> MASTER MI� RECEIPT <br /> OPERATOR aaa. ❑ TRUCK NO. TIME <br /> AM MANIFEST QUANTITY PRICE AMOUNT <br /> RM. <br /> L— WUR 3ALENUM =1A <br /> 0S ` S' <br /> r? A 2 f; <br /> -95 <br /> GALLONS PRICE M(®UNT <br /> X TOTAL � ' CCK-'4� 3� I <br /> ❑ CASH <br /> N° 2989 <br /> CUSTOMER SIGNATURE <br /> RECENEe <br /> FAVMENT$ U CHECK <br /> 1 <br /> I d fY ! F <br /> I hereby certify t at have noNYE 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.ahy .C.B.'s.I further agree to accept the additional charges for legal disposal if this waste Is over TAL '�)L 1 <br /> 1000 P.P.M.total halides;or co twines any P.C.B.'s. ;.• <br /> DRIVER — - —"""'" GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE/SIGNATURE C. C I <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE. CUSTOMER AG ES'TO PAY ALL LEGAL FE6SI 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 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 <br /> accidental releases. It Is lawful to send used oil to cut-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 /> Driver signed Date Generator signed Date <br /> By signing the 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 the degree,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 /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181 •EPA 4 CAL000190816 916-371-5747•EPA R CAD044003556 <br /> MPC(10/2004 <br />