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AMERICAN VALLEY �. ' WASTE OIL, INC. Invoice Number RECYCLE 1x P O Bax 340 Delhi, CA 95315 PH 1-800-732-4645 • FAX 209-668-3880 EPA CAL000827878 Invoice Date ' BILL TO: JOB SITE: Phone Customer PO Payment Terms EPA# 2IL"7 :is 23�1 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT CODE ' USED OIL NON RCRA HAZARDOUS WASTE LIQUID 221 USED AUTOMOTIVE ANTIFREEZE, NON ' RCRA HAZARDOUS WASTE LIQUID 343 OILY WATER, NON RCRA HAZARDOUS WASTE LIQUID 221 ' IINITY HEAVY DUTY 50150 CYCLED ANTIFREEZE NIA NON HAZARDOUS WASTE LIQUID TRUCK TIME NIA GREASWEEP NIA TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5%SERVICE CHARGE CUSTOMER AGREES TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL 1s DRIVER ' ' GENERATOR SIGNATURE %% 1' SIGNATURE }` - '``* ' `i �.9"- �' 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 with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- state facilities that process used oil also meet those requirements, engineering certifications of tank integrity,and financial assurances for closure and acci- dental releases It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more strin- gent requirements I I This notification is for informa 4A purposes only 'r' ` Driver signed °_ Date — '~' Ge ferafor signed Aj -'- -' '" c� �*Date r ' By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity ane toxicity of the hazardous waste to the degree,as determined by the generator,to be economically practicable both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator their waste has been transported to a license treatment or transfer facility 1DISPOSAL/ RECYCLING FACILITY O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W SACRAMENTO, CA 95691 ' 209-863-8181 • EPA#CAL000190816 916-371-5747• EPA#CAD044003556 - MPC(4/2003)