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02/28/2011 11:46 FAX 0 003 <br /> A rc N VAL . � ; . ' ,� : <br /> WASTE'OIL, INC. Invoice,Nuniber::' <br /> P.O: Box.340 •.Delhi, CA 95315 <br /> :P.H,•;1- OQ�732-.:4645 ,�:::FA '; :09-668-3880 >r3,r ::• '.I <br /> CAL000827878 <br /> Invoice Date: <br /> SIL, :'FO JOB SITE.: ' <br /> ..' FI <br /> FISH <br /> �tISRSER`t' <br /> ` �t iEF? rU.�`, EF:wGai . fV S�1 N I;G i <br /> P.O: EIGX X57' <br /> lff7(11 :QA' <br /> .. ..,. <br /> P•,hone Gtistomer P.O:' Pa <br /> y.meht:Terrd.s SOUP <br /> .... . ... .;` :''• ..., : ;. WASTE:` ,;PRICE: <br /> PRO.DUCT:.SHIPP.ING:QESC�AI.PTIiDNMAf�14FEST•'` QUANTIT`F : ,t <br /> E." <br /> USED::41 IV;RCFIA•HAZARDOUS <br /> N.ASTE`L1QU{D:.:;.: <br /> • <br /> ' •..221 •'.. ' - ,��.. <br /> AUTOMOTIVE ANTIFREEZE;::NON <br /> _`MRA HAZAR <br /> DOUS <br /> ATEI� I�tONRCRA:H•AZAR'DOUS•:.. ;;:;,:' .;�`;,-„ <br /> O.IL.Y.1iV <br /> :TFtI:NITY'HE. <br /> •:;':NON:'RAZARE}OtJS:':VVi4STE Ll( 111U'. <br /> GRI ,swEEP::'. <br /> ;.; <br /> Assts EA.eWW ;reMk`tlady�ir�'A(�€r z <br /> ;.. <br /> ' •!"he�9by .certifythar:l have'not.riiixed this waste with any,.other waste,that the.total halides ass less:thah 1'000 RPM,;and that'.;` <br /> #ha waste does iiot:c0�t3ln:any'I?C:9•'S:t further agree to accept the additional charges for.legal disposal'rf this'waste is'over <br /> p:P.lvl'.t'otai fialld'es;•or:contalnes.any P.C:B'.' <br /> �. <br /> GENERATOR/.AUTHORIZED- <br /> SIGNATURE/;SIGNATURE. <br /> .SIGN'ATURE:• • <br /> ` :•:TERIVIS:.04VOICES ' R-: ' A`(S•�1=�E SUB,JECT:TOA'1'.50/o SERVICE CHARGE.rCUSTOMERAGREE: � PaY AU..LEGAL;FI ESl ;, <br /> COURT AGTIOKI•BECOMES NECE'SSARY'TO,COLLECT THIS INVOICE.. <br /> Waste'Oilhiereti advisesthe:aboveGBnerataetlie,Ganorators�shipmentof'Lsedoilmaytie:transported;'to.a.facility,thAtissequired:toagmply: <br /> Arrisricari Valley Y <br /> w@h fed'Aral regulatiofts applicable to.management of used oil;but that is not required to comply•wrti the more stringent requirements applfc3ble.td hazardous' <br /> Wflste management.facilRies•.Cafifomia faciIities:that'hendle or process.used.oil,are required to meet.those'mGre:stringent requirements and::some out of= <br /> state faGllltias'that;process,used oil also meet thoso-reg09ments,.engineering certificatl'ons'of tank.integrity,'and financial assurances' <br /> ;'accidental releases..Itis I' iul:to send used:oil to out-of-state facliities that comply only with federal used oil.mavragement standards:and not..the <br /> stringent requireme <br /> This notificatipn':is:;far in n p�urses:bril '�, r"'% •' <br /> :,<:•. r::;_;::` eti>F�`*'_.'_ 'r 3 „f;r✓ <'�`, ; pate' •:: <br /> it s^"f .✓ Generator signed` <br /> E' :By Sighing•thr3 Invai a ggfte�r certifies that,thergenerator'has established.a program:.to educe the volume or•'gp;nfity and toxicity of the haxardou's'•; <br /> :waste,to the degra ,'as'.determthed%by the generator,to.be•economically practicable. <br /> V.By both pestles signing:this invoice It will serve as an agreement that American Valley will submit confimtations for(certain waste streams)to th'e,generato�rt <br /> : :x: - <br /> 917 <br /> that their waste has.baen.iransported to a Ileacs®treatnienr or transfer facility. <br /> ;.DISPOSAL[RECYCLING-FACILITY <br /> : RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5301?'CLAUS ROAD•RIVERBANK,CA 95367 '' 1515 SOUTH RIVER ROAD•W. SACRAMENTO, CA 95691 <br /> 209.863-8181 •EPA#CAt_000190616 916-371-5747 EPA 4 CAD044003556 <br />