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Sep 27 07. 03:02p Julie Huber 209-668-3880 p.2 <br /> AMERICAN VALLEY 57070 <br /> 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. CAL000627878 <br /> nvoice Date: <br /> fTO: JOB SITE: <br /> ,ZMAN AUTO REPAIR GUZMAN AUTO REPAIR <br /> "037 W. YOSEMITE 2037 V. YOSEMITE <br /> MANTECAr CA 9533.7 MANTECA, CA 95337 <br /> Phone Customer P.O. Payment Terms EPA# <br /> L000244551 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS 221 1_ 00 <br /> WASTE LIQUID 1 <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 /> C C co <br /> 1 hereby certify that I have not mixe is 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.S.'s. I further agree to accept the additional charges for legal disposal 0 this waste is over TOTAL -O <br /> 1000 P.P.M.total halides,or containes an P.C. 's.— <br /> DRIVER GENERATORAUTHORIZED <br /> SIGNATURE SIGNATURE/SIGNATURE <br /> I TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL 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 cil,but that Is not required to comply With the more stringent requirements applicable to hazardous <br /> waste management facilities.California facilities that handlB 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 out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. rI <br /> j This notification Is f ton p se ������--� l U <br /> Driver signed Date�Z�enerator signed ate 1. U <br /> By signing the ice th snerator certifies that the generator has established a program to re u the volume or qu6btyndtCoxicilyof 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 treatrinsm or transfer facility. <br /> DISPOSAL I RECYCLING FACILITY <br /> ERSANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 0 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W..SACRAMENTO, CA 95691 <br /> V <br /> 209.863-8181 •EPA#CA1000190816 916.371.5747•EPA#CAD044003556 <br /> 1 <br /> MPCI <br />