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Sap 27 07 03:00p Julie Huber 209-668-3880 p.4 <br /> AMERICAN VALA 6 Q 2 5 <br /> WASTE OIL, INC. Invoice Nurnbc <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> BILL T0: JOB SITE: Invoice Date: <br /> GUZMAN AUTO-- REPAIR GUZMAN AUTO REPAIR <br /> J 1037 W. YOSEMITE 1037 W. Y03IMITE <br /> MANTECA, CA 95337 / X: UNION <br /> 7�YI� MANTECA, CA 95337 <br /> Phone mer P.O. Payment Terms EPA# <br /> 09-239-2819 MARIA C.O.D. L000244551 <br /> PRODUCT SHIPPING DESCRIPTION WASTE <br /> CODE MANIFEST QUANTITY PRICE AMOUNT <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 4 lCa ' 85 <br /> ->3— <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 /> GREAS W EEP N/A <br /> I hereby certly that I have not mixed this a$te with any other waste,trial the total halides 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 if this waste is over <br /> 1000 P.P.M.latai halides an P.c.6.'a. - TOTAL J�'fa <br /> DRIVER GENERATOR AUTHORIZE <br /> SIGNATURE SIGNATURE/ SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECTTO A 1.50%SERVICE CHARGE.CUSTOMER., EES TO <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. PAY ALL Lc LIFE IF <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 /> �1 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,pr process used oil are required to meet those more stringent requireme pli and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financlaL assurances for some <br /> o 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 no:closurethese more <br /> stringent requirements. <br /> This notification is for information purposes only. <br /> Driver signed Date Generator signed <br /> By signing the invoice the generator certifies that theDate <br /> generator has established a program to reduce the <br /> waste to the degree,as determined by the generator, to be economically practicable. volume or quantity and toxicity of the hazardous <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 1 RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER RMAO5 ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181• EPA N CAL000190816 916.371-5747•EPA it CAD044003556 <br /> MPC Oar: <br />