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Am RIGiNNALLP7 60304 <br /> WASTE OIL, INC. -- Invoice Number: <br /> P. O. Box 340 6 Delhi, CA 956315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> r <br /> BILL TO: JOB SITE: Invoice Dite: <br /> F:EPATR i'T 47."J: 1. e_ <br /> ' 'TC- REPATR <br /> 10+'7 W. YC)SEMITE <br /> 1.0:7 W . i",D3TMi°1E <br /> 13-�12'ti E'C lit CA '9 5 3_7 <br /> Phone d Customer P.O. Payment Terms E ante <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST <br /> CODE pUANT..LT"1" PRICE AMOUNT <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 PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NON <br /> C r. <br /> NON HAZARDOUS WASTE LIQUID ,. <br /> TRUCK TIME N/A <br /> GREASWIEEP NIA <br /> r <br /> I hereby certify that I have notInixed this waste with any other waft,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 <br /> 1000 P.P.M.total halides,or contains any P.C.B.'s. TOTAL <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE 1 SIGNATURE/ SIGNATURE <br /> TERMS: INVOICES OV 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECO S 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 facllkies.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 as$urances for closure and <br /> accidental releases. It is lawful to send used oil to out-of-state facilitles 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 /> E?ISPOSAL I RECYCLING FACILITY <br /> YQ-f1(VERBANKOIL TRANSFER V O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO, CA 95691 <br /> 209-863.8181 •EPA If CAL000190816 916-371-5747•EPA#CAD044003556 <br /> MPC(1020W) <br />