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AMERICAN VALLEY <br /> 411r:lcy-CLEWASTE OIL, INC. Invoice Number <br /> P O Box 340 - Delhi, CA 95315 I <br /> PH 1-800-732-4645 - FAX 209-668-3880 ? <br /> EPA CAL000827878 <br />' Invoke Date <br /> BILL TO: JOB SITE: <br /> U- <br /> J. TS SSC, <br /> IT J .r i U- <br /> r <br /> 16 6E ";,f-t.°rR w <br /> ( 'w 1'0 x'7; .I" ` (ext J3—' 1c <br /> I <br /> Phone Customer PO Payment Terms EPA# <br /> I <br /> 1,14 579 250F? f'i't 30 D'Iys <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 /> I OILY WATER, NON RCRA HAZARDOUS <br /> I WASTE LIQUID 221 tom. r <br /> N HAZARDOUS WASTE LIQUID `ZZs r 3 <br /> TRUCK TIME NIA <br /> GREASWEEP N/A <br /> HALOGEN TEST N/A <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID N/A <br /> TERMS TO PAY ALIL LEGALVOICES OVER FEES IFDAYS ARE COURTACTIONJECT To A 1 5%SERVICE CHARGE BECOMES EC SSA Y TO COLLECT THIS INVOICEMER TOCE TAL ! ' <br /> DRIVER GENERATOR <br /> I <br /> SIGNATURE '� SIGNATURE <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous 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 I <br /> waste streams)to the generator that their waste has been transported to a license treatment or transfer facility <br /> DISPOSAL/ RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD 1515 SdUTH RIVER ROAD <br /> RIVERBANK,CA 95367 .W SACRAMENTO, CA 95691 <br /> CAL000190816 916 371-5747 <br /> CAD044003556 <br /> MPC(1/02) <br />