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WWRICAN VALLE17 ���"3 <br /> WASTE ®IL, INC. -' Invoice Number: <br /> P. 0. Box 340 s Delhi, CA 95315 <br /> PH, 1-800-732-4645 • FAX 209-668-3880 <br /> EPI. CAL000827878 l <br /> Invoice Date: <br /> BILL TO: JOB SI'Z'E: <br /> a;ZRAN AUTO RZZ1k1i <br /> af?Wit".."»I F,C'""C R°Ft1TF <br /> 1037 W. YOSEMITE <br /> NWT ECh, Ck 95??" !1 IINIc:Pl <br /> Phone Customer P.O. Payment Terms Dani <br /> PRODUCT SHIPPING DESCRIPTION WASTE CODE MANIFEST QUANTITY PRICE AMOUNT <br /> USED OIL NON RCRA HAZARDOUS e <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 NIA <br /> NON HAZARDOUS WASTE LIQUID <br /> a <br /> TRUCK TIM N/A <br /> *. <br /> GREASWEEP N/A � <br /> rLo <br /> I hereby certify Ihat-I have not mixed this waste with any other waste,that the tots!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 0 this waste is over .,TOTAL 70 <br /> 1000 P.P.M.total halides,or conl any P :s. <br /> DRIVER M GENERATOR/AUTHOR ,ED ` <br /> SIGNATURE -' SIGNATURE SIGNAT <br /> TERIMS: INVOICE VER SO DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE, CUSTOMER AGREES TO PAY ALL LEGA{ �S'IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> American Valley Waste OL hereby advises the above Generator the Generators shipment of used os may be transported to a facility that Is required io compiy <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 favi ttles.California facli that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br /> state taclllfies 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 oll to out-of-state facilities that comply only with federal used all management standards and not these more <br /> stringent requirements. <br /> This notification Is f af n pus"2 Y. <br /> Driver signed _•/ Date ~4 enarstor signed Date <br /> By signhg the I the generator certlNes that the emtor hes'ems Ilshed s program to reduce the volume or quantity and toxicity of the hazardous <br /> waste 10 the degree,as determined by the generator,to be economically practicable. <br /> By both parties signing this Invoke 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 /> PISPOSALI RECYCLING FACILITY <br /> O AfVii 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#CAL000190616 916-371.5747•£PA#CA0041003566 <br /> MPC(1020 <br />