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nnmr-7 <br /> AMERICAN VALLEY 572105 <br /> WAM OILY Number: <br /> 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: .TOB SITE: <br /> xitZh4AtJ A1.70 REPAIR <br /> AI '1*0 REPAIF. <br /> 10 .37 W. YCk FNITG <br /> MANTECI , CA g , 3; r 1: 111iiON <br /> MRBITECAr cA 4S?i7 <br /> ' D e rb MOMS .. . <br /> Phone Customer P.&—:: �' Payment Terms EPA# <br /> . <br /> :: I G-1-1 "I d6l)l 44 1.9i-1. <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 J�r <br /> RECYCLED ANTIFREEZE PREMIX N/A ia� " ? I Lu';i <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> a <br /> I hereby certify that I have rcpt mixab this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that .� <br /> the waste does not cont#n'eny.F?C.0's.I further agree to accept the additional charges far legal disposal it this waste is over <br /> 1000 P.P.M.total hal' es,or tames any P ' ..0 I�TAL 0 lob <br /> DRIVER ! GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE/ SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE.CUSTOMER AGREE;5k( 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 managem4nt 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 oll management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes only. <br /> Driver signed Date Generator signed Date <br /> By signing the Invoice the generator certifies that the generator has established 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/ RECYCLING FACILITY <br /> 0 RIVERBANK OIL TRANSFER 0 RAMOS 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 A CAD044003556 <br /> MPC(10/2004 <br />