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'AMERIC" VALLEY, POA 4.36.8 <br /> WASTE OIL, INC. '" <br /> Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: <br /> GU4MAN AllPPO REPAIR GU7MAN AUTO REPAIR <br /> 1.037 V. YOSEMITE I.^3? V. Y!7STMI*7.'E <br /> MANTECA, CA 95337 ;X: UNION <br /> MANTECA, CA 95337 <br /> PhoneCustomer P.O. Payment Terms salaaeap <br /> M-.2,19-213 11 N : : t, (). V [7!18---I "I <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE 'AMOUNT f' <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 im1 W1 bs�'30 <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 /> TR UCK TI'M E N/A <br /> GREASWEEP N/A <br /> I hereby certify that I 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 d this waste is over TOTAL ,,�' <br /> 1000 P.P.M.total halides,or contains a P.C.B.'s. <br /> DRIVER { �" GENERATOR/AUTHORIZED �,.-... <br /> SIGNATURE SIGNATURE SIGNATURE <br /> TERMS: INVOICES OVE[ 30 DAYS ARE SUBJECT TOA 1.5%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 oilmanagement standards and not these more <br /> stringent requirements. I <br /> r <br /> This notification is fr tbrµ9[t s only. i <br /> Driver signed� �('�,�:!' Det l�enerator signed Date } �I J <br /> By signing th voice the genera{or certifies that the generator as esirelairslied a program to.red66e 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 I RECYCLING FACILITY <br /> O-R ERSANKOILTRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 9300 CLAUS ROAD• RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691 <br /> 209-863.8181 •EPA#CALA00190816 = .916-371-5747•EPA If CAD044003556 <br /> • MPC tt0120M <br />