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oGAA te IAN VALLEY 66411 <br /> E OIL, INC. Invoice Number: <br /> Waste Oil, Inc. Delhi, CA 95315 <br /> F 4. ROX Sao - DET-Ell CA 9.5315 5 • FAX 209-668-3880 <br /> 800-732-4645 L000827878 <br /> Invoice Date: <br /> vale $- °� O4a B SITE: <br /> GUZMAN AU'rO RFPAIR <br /> Address ` <br /> AUTOMATICALLY TO ENSURE YOU gZaym <br /> A, CA 95.-3:37 <br /> PRINTED �= OF ACCURACY <br /> Terms wlea Per .. l el <br /> MASTER MEET R RECEIPT <br /> OPERATOR cca �.TRUCKNO. TIME MANIFEST QUANTITY PRICE AMOUNT <br /> I PM. <br /> I•�, :.gol+lgsgi6,(ti' w .. rsnuav'Rearisv MNeH i <br /> hh ? 9 fl C? G) 5 5 <br /> n n r� ` .n <br /> "P,AEy1bu$9Ak6>,MNfd _ .FEA®Ma.STAWT CFO®LIVERY <br /> P 'dUT GAL40NS PFHCE .AMOUNT <br /> - SU <br /> X TOTAL <br /> ' CW^TOMEfl 8K3NANRE ��� <br /> PFCEIVEO ❑ CASH <br /> 1.2 29$9 RCOMP y <br /> FOO THE ❑ CHECK <br /> _ rA <br /> I hereby certify t at have not ml>ecl this wasfe with any other waste,that the total halides are less then 1000 P.P.M.;and that $6,011) <br /> the waste does not contain.any .C.B.'s. I further agree to accept the additional charges for legal disposal If this waste is over q <br /> 1000 P.P.M.total hall des;or co twines an P.C.B.'s. TAL .�h1 <br /> DRIVER j <br /> GENERATOR AUTHORIZE <br /> SIGNATURE SIGNATURE/SIGNATURE �_ VIC; <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGR ES TO PAY ALL LEGAL FEad IF u <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 sand 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 /> 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 /> O RIVERBANK OIL TRANSFER AMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 (((((( 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181 •EPA#CAL000190818 916-371-5747•EPA#CAD044003556 <br /> MPC(10/2004) <br />