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Sep 27 07 03:04p Julie Huber 209-668-3880 p.10 <br /> AMERICAN VALLE - <br /> WASTE OIL, INC. Invoice Number: <br /> r <br /> P. O. Box 340 • Delhi,'CA',95.315 i 1 <br /> PH. 1.800-732-4645 • FAX 209-668-3880 <br /> EPA. CALOOCS27878 / <br /> Invoice Date: <br /> r <br /> TO: JOS SITE: <br /> &rTO: nLtmn RF.PnTA GUZMAN AUTO REPAIR <br /> 1037 W. YOSD4ITE 1037 W. YOSIMITE <br /> MANTECA, CA 95337 X: UNION <br /> f. � MANTECA, CA 95337 <br /> �sI <br /> Phone Customer P.O. Payment Term r� EPA# <br /> 209-239-2819 MARIA C. O. D. V CAL000314075 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 r J I <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 1 343 <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 /> GREASW EEP NIA <br /> Tmtiry Extended Life Premix recycled Artifr e <br /> FUEL SUR CHAP.GE $5.00 <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are lass than 1000 P.P.M.;and that O U d <br /> Uva waste does not contain any P.C.B's.I further agree to accept the additional charges for legal disposal if this waste is over TOTA <br /> 1000 P.P.M.total halides,o eontalnes an P . 'S. <br /> DRIVER GENERATOR/AUTHORIZED, <br /> SIGNATURE SIGNATURE SIGNATURE <br /> TERMS: INVOICES O ER 30 AY ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREE TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BEC MES NEC Ye <br /> 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 certificatlons of tank integrity, and financial assurances for closure and <br /> accidental rele4invoicg <br /> to sand used oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requ - <br /> This notificatioP ses only r/� v <br /> i <br /> Driver signed Date Generator signed Date <br /> By signing thtar certifies that the generator he established a program io reduce the volum or quantity and toxicity of the hazard uswaste to the dined 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 /> iDISPOSAL/ RECYCLING FACILITY <br /> RIVERBANK 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 4 CAL00019OB16 916371-5747 •EPA s CAD044003556 <br /> MPC( <br />