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Sep 27 07 03:03p Julie Huber 209-668-3880 p.7 <br /> . . AMERICAN VALLEY 6641" <br /> {HASTE OIL, INC. Invoice Number: <br /> P. O. Bax 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> LL TO: JOS BITE• <br /> IM V Avmy a7EoAi o UZMAN AUTO REPAIR <br /> 037 W. YOSEMITE 1037 W. YOSIMITE <br /> 44ANTECA, CA 95337 UNION <br /> 1 ECA, CA 95337 <br /> %I-RCP : RickGariel <br /> Phone Customer O Pay nt Terms EPA# <br /> 209-239-2814 MARTA C.Q. D. AL000244551 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON S $C� r <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS 221 <br /> WASTE LIQUID <br /> TRINITY HEAVY DUTY PREMIX �AsRECYCLED ANTIFREEZE N/A O t Cil <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREAS W EEP N/A <br /> CI ICI CI IQ ru A0(1C $5-W <br /> I hereby ceI ty that I have not is waste with any other waste,that the total halides are less than 1000 P.P.M.;and that tt <br /> the waste does not contain y . B.a.I further agree to accept the additional charges for legal disposal if this waste is over TAL 6 I. r <br /> 1000 P.P.M.total halide or c aines an P.C.B.'s. It-� <br /> DRIVER GENERATOR AUTHORIZE //��yy1 , <br /> SIGNATURE SIGNATURE/SIGNATURE 0 <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 11.5%SERVICE CHARGE.CUSTOMER AGR ES TO PAYALL LEGAL FEE F <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 managemen, m <br /> of used oil,but that is not required to comply with the ore stringent requirements applicable to hazardous <br /> waste management iacifities. California facifties that handle or process used oil are required to meet those more stringent requirements,ano 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 outof-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 :hat the generator has established a program to reduce the volume or quantity and toxiciy of :he hazardous <br /> waste to the degree,as determined by the generator, to be economically practicable. <br /> By both parties signing this invoice it will ssrve�es an agreement that American Valley will submit confirmations for(certain waste strear l 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 MOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD-W. SACRAMENTO,CA 95691 <br /> 209.863-8181 •EPA 0 CAL000190815 916.371.5747•EPA k CAD044003556 <br /> We(' <br />