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Sep 27 07 03:00p Julie Huber 209-668-3880 p.3 <br /> AMERICAN VALLEI 60293 <br /> r' <br /> WASTE OIL, INC. Invoi;e Number: <br /> ' P. O. Box 340 + Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> BILL TO: JOB SITE: Invoice Date: <br /> GUZMAN AUTO REPAIR GUSMAN AUTO REPAIR <br /> 1037 W. YOSEMITE 1037 W. Y03IMITE <br /> MANTECA, CA 95337 X: UNION <br /> MANTECA, CA 95337 <br /> sale ReP: Rick Daniel <br /> Phone Customer.P.C. Payment Terms EPA# <br /> 209-239-2819 MARIA C.O.D. CAL0002,4551 <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 <br /> NON HAZARDOUS-WASTE LIQUID <br /> TRUCK TIME N/A <br /> G REAS W EEP N/A <br /> I hereby certify that I have not ribcod this waste with any other waste,that the total halides are lass than 1000 RP.M.;and that <br /> the waste does not contain any P.C.B.'s. I further agree to accept the additvnal charges for legal disposal it this waste is over. K <br /> 9000 P.P.M. total halides,or contah(es a P .•s. TOTAL (,J <br /> DRIVER GENERATOR AUTHORIZED p <br /> SIGNATURE SIGNATURE/SIGNATURE <br /> TERMS: INVOICVEFIS31DDAYS ARE SUBJECT TOA 1.5%;SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LE ALF 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-ol- <br /> state facilities that process used oil also meet those requirements, engineering certificatons.of.tank integrity, and financial assurances for Closure and <br /> accidental releases. 11 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 notification is f rl io os Y. , <br /> Driver signed ' Dat <br /> Generator signed Date <br /> By signing the a the genera or certifies that the an rator h e fished 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/ RECY LI G FACILITY <br /> IVERBANK 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 8 CAI-00019o81 s 916.371-5747• EPA A CAD044003556 <br /> MPC(i Cr2004) <br />