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f ANIERIC AN V ALLEY 69327 <br /> WASTE 011L, 1140. Invoice Number: <br /> �f <br /> . O. Box 340 • Deihi, CA 95315 <br /> PH.. 1-600-732--t345 FAX 209-668-388,,3 <br /> EPA: CA_030827578 <br /> 7 <br /> Invoice Date <br /> TO: JOB S3'rF <br /> �rtil THvitPE t�iL YI'j� JIM THCRPE OIL, ?A1C. <br /> ,_ .,C�. S'�X 3 S'' 351 ?�•. ii E=`.�k�':=-.� RLQ <br /> .. <br /> LOUT, GA 95241 L0011 GA 9521 <br /> { Phone Gustorner P.O.' Pa.,,ment Terms A4 <br /> a <br /> r. ,R J& <br /> HIPPING D1=5CR1rT' WASTE MANIFEST I C)UANTITY I YRICF AMOUNT <br /> FRQDUCT v CODE <br /> . <br /> F - <br /> ,)iLY <br /> L NON RCPA HAZARDOUS 2 - <br /> IQUID _. ��21 <br /> TOMCTIVE ANTIFREEZE, NON <br /> ZARDOUS WASTE LIQUID —t 343 I <br /> { L"1ATER,NON RCPA HAZAPDOUS 221 <br /> ;',VASTE L.IOUID <br /> ,° I 1 <br /> 'TRINITY HEAVY DLITY PREMIX <br /> I <br /> RECYCLED ANTIFREEZE N'F --� — <br /> [NC�N wAZARDOUS WASTE LIQUID <br /> 1 4 <br /> TRUCK TIME fv,�F' <br /> i <br /> " GIREASWEEP T. <br /> U Ems. MRS H' -E----- f. <br /> tu3reby csrti y that I hr:Ue not mixed this waste with any oher waste,that Mtia total hal ccs are iess ttan 1000 P•p :3f'�that TA <br /> w-iste does rot contain any PC.S.s.I further a3-ee to acce9t the add tronas=^a'9a`ter saga dispc+sa ii this waste s over <br /> tine toao F.a.v' btai hal�!e or Woes an Pc.t3's GEN ERATOR/AUTHORIZED <br /> pRIVERSIGNATURE/'SIGNATURE <br /> SIGNATURE "--�""'"~' <br /> TERMS:INVOICES ER 30 D YS ARE SUEtJ T6 A1.5%SERVICE CHARGE.GUSTO RA BEES TO A ALL At FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> 4 .•rnerica s e'at;ay 1�+asts t hereb j advises tale above Ganetator lh&rgnerators shipment of usod ou may Da trs ported to actl,ty that is required a comFw <br /> red to <br /> ;rrastecierall r emern tacaii as.Caettornla ocilitiesmanagemeto irthat he or-tol,used oil, oprooccoss used ci rare required�to'ith the.Triot e eet triosa more stringent teqasswanoes uto I i,ementpli,aaid to <br /> zu�t <br /> state facilities that process used oil also .T,sel :hose requir&mens;, artgineeting certi rCalicns of tank !nte,ri;y, and fire nt stand rds and foot these-rO'O <br /> 8ccidental raleases. V4ul to sent,used oil to out-of-state taal.ties thal.comply only wilts federal used ma <br /> $VIr133'Yt req Ulrem t$• � <br /> "hw notificF on is for an poses only. <br /> ((// Gewatorsignad Date <br /> pr'nra Slgfr6�_ Leat 9rt1 a xlcity l3:tna hazardc�s <br /> Ey signirg:nE in ice t,1e 6 ator cartit'is that the garteratrn has established a prog+am to ;re t o Yoiu e , <br /> ' waste to r.s degree,as cater nil by the generate,tc be economicsMy'pm%5%ao'e• ste streams)to the generator <br /> l gy{ycth partes signing this rna ca it will serve as an agreement that Arnerican vsi+ay wit s it ccnf' attons r Icerta,n <br /> that ~:air waste nas been transpcned to ticanse treatme•itor t-ansterfacility. <br /> RC—CYCLINGF.4C4LiTY O Ag,10S ENvtaoll eMMTALSERV+.CES <br /> 0VERBANK OILTFSfEA <br /> 5 vF CLAYS RC RA RIVERBANK,CA 95367 ' 1515 SO Tri Ri\'EP ROAD VJ.SAGf�AAtENTo. �A S56p1 <br /> 916.37'-8747•EPAM•--ADO»h��3556 <br /> 209 883 3181 cPA tf CALCCfi190616• rtac t <br />