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>) AMERICAN VALLEY 68831 <br /> WASTE OIL, INC. Invoice Number: <br /> CHE:Ctr <br /> P. O. Box'340 • Delhi, CA 95315 <br /> 3� / PH. 1-800.732-4645 • FAX 209-668.3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> GUZMAN AUTO REPAIR GUGMAN AUTO REPAIR <br /> 1037 V. YOSFMITF 203'1 W. ''jOSIMITE; <br /> MANTECA, CA 95337 X: UNION <br /> MANTECA, CA 95337 <br /> Phone Customer P.O. Payment Terms °A "P 7 <br /> °I <br /> 209 239 A49 MARIA <br /> PRODUCT SHIPPING DESCRIPTION WASTft MANIFEST QUANTITY PRICE AMOUNT <br /> CODIt <br /> USED OIL NON RCRA HAZARDOUS ' C <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 /> GREASW EEP N/A <br /> I hereby certify that 1 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 if this waste is over TOTAL .� <br /> 1000 P.P.M.total halides,or containes an P.C.B.'s. <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE I SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.50%SERVICE CHARGE.CUSTOMER AGREES TO PAY 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 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 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 notification is for Information purposes only. <br /> r <br /> Driver signed .'rf _ Date; - Generator signed -^-- Dated a' / i <br /> By signing the invoice the generator certifies that the generator has established a program to reduce ffili5volutne 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 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#CAL000190816 916.371-5747•EPA#CAD044003656 <br /> MPC(10/20D, <br />