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MAV. 11. 2001 12: 12PM CON EARTH TECH N0. 2869 P. 2 <br /> KivihiuCAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> R O- BA40 • Delhi, CA 95315 72429 <br /> PH. 1-600-732-4645 • FAX 209.668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> RILL TO: JOB SITE: <br /> CONDOR F.rAAT'-j TECH BOYETT PETROLEUM <br /> P.O, SOX 3905 419 S MAIN ST <br /> SONORA, CA 95.370 MANTSC A, CA. <br /> phone ° Customer P.O. Payment Terms A# <br /> hG 2-J or' <br /> PRODUC 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 /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID 7,:Q - Cl r '-1 S <br /> TRUCK TIME NIA <br /> GREASWEEP N/A <br /> J <br /> Tirinbry Extended Lim Premilt recycled d Art'sfr le <br /> FUR SUR CHARGE GE <br /> I hereby certify that l have not ' Ed this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not Contain an ,C.B.'s.1 further agree to accept the additional charges for legal disposal t this waste is over TOTAL <br /> 1000 P.P.M.total halides,or o0 'nes an RO B!& <br /> DRIVER GEW9RAT-0FFC/AUTHORIZED E <br /> SIGNATURE STGNATItIfiEl SIGNATURE .Y 1fc`tda �` ' <br /> TERMS:INVOICES OWR 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES 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 facilities.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 assurances for closure and <br /> accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used of management standards and-not these more <br /> suingent requirements. <br /> This notification is for information purposes only. <br /> Driver signed Date Generator signed Date ' <br /> By signing the invoice the generator oertiries that the generator has established a program to reduce the volume or quantity and toxiolty of the hazardous <br /> waste to the degree,as determined by the generator,to be aconomically practicable. <br /> By both parties signing this invoice it will some as an agreement that American Valley will submit confirmations frit(certain waste straiims )to the generator <br /> that their waste has been transported to a license treatment or transfer facility <br /> DISPOSAL/ RECYCLING FACILRT f <br /> O RIVERBANK OILTRANSFER O RAMOS ENVIRONMENTAL SERVICES { <br /> 5300 CLAUS ROAD• RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691 <br /> 20"83-81 61 •EPA#CAL000190818 4.,ty 916371.5747• EPA#CAD044003556 <br /> ,p <br /> MPC(10/201 <br />