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Sep 27 07. 03:04p Julie Huber 209-668-3880 p.9 <br /> AMERICAN VALLE, <br /> WASTE OIL, INC. Invoice Number: <br /> / R O. Box 340 • Delhi, CA 95315 73015 <br /> j PH. 1.800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> ,rT�� Invoice Date: <br /> ,491kN AUTO REPAIR JOB SITEbUZMAN AUTO REPAIR <br /> 1037 W. YOSEMITE 1037 W: YOSIMITE <br /> / MANTECA, CA 95337 X: UNION <br /> MANTECA, CA 95337 <br /> Slee Rcp : RickDaniel <br /> Phone Customer P.O. Payment Terms EPAN <br /> 209-239-2R1q MARTA r,n, n. CALOOD314075 <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 <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 S?1 f <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> BRERS99EEP" 4)Q'N" N/A <br /> remx recyc e <br /> FUEL Sur, 'UHARGE S5.010 <br /> 1 hereby certify that*l 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 0 this waste is over o7-y- <br /> 1000 P.P.M.total halides,or conteines .c.e.'s. TOTAL I(a <br /> DRIVER GENERATOR AUTHORIZE IC <br /> SIGNATU SIGNATURE SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJ °6 SERVICE CHARGE.CUSTOMER AGREES TOPAY 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 fact ty 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 usedoil also most 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 notificaticn is for information purposes only. <br /> Driver signedDate 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 RIVERBANKOILTRANSFER RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181 • EPA CCAL000190816 916-371-5747• EPAN CA0044003556 <br /> MN Itp <br />