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Uuu r f ur ut:=op Jul Hubs 209-688-3880 p.2 <br /> .. AMERICAN VALLEY <br /> WASTE OIL, INC. _nvoice Nurnoer: <br /> P.O Bax ?40 . DeiFi, CA 95315 77224 <br /> P.H. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. GAL000927878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: WIi-BER Ell <br /> GROUPdD ZERO ANALYSIS INC <br /> 1714 MAIN ST 212 INDUSTRIAL DR <br /> ESCALON, CA 95320 STOCKTCN, CA 95205 <br /> Phone Cusiomer P.C. Payment Terms EPA# <br /> 838-9888 Net 30 Days <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY Fil AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQU;D 221 <br /> USED AUTOMOTVE ANT11'REEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID I 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 <br /> r <br /> TRUCK TIME N/A <br /> GREAS WEEP N!A <br /> I <br /> Tril ly Extended Lffe Premix recycled Antifreez <br /> i herabvcelrtlly that 1 have nct mixed this waste With any oliher waste.that the tout halides are less than 1048 P.P.Mt.;and that <br /> the waste does nct contain any RC.5.'s. I tuM er agree to accept the adJiii charges for tagal disposal if This waste',s over TOTAL . 1 F' <br /> tODD P.P.M.total halides,or cantaines any P.0 3-'s <br /> DRIVER GENERATOR AUTHOPIZED <br /> SIGNATURE SIGNATURE SiGNATl f r ,' ' �, - <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.506 SERVICE CHARGE.CUSTOVIll AGREES TO PAY ALL LE L FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS'.NVOICE. <br /> American Val!ey Waste Oil ereby advises tits above Gene'atcr thin Generators shipment of used oil may be transported to a facility tnat,s required to comply <br /> with ledera'i regulations applicable to management of used oil,butthat is not required to comply with the more stir ngoni requirern is 2ppiicabie to nazardous <br /> waste management facilities.Calilorria facilities that handle or process used oil are required to ricei those more stringent requirements, and some out of• <br /> slate factirles that princess used oil also meet those requirements, engineering certifications of tank intogrity, and financial assurances for closure enc <br /> eccidentel releases. It is la'rvful to send used oil +u cut-of-state facilities that comply only with federai used oil management standards and not these more <br /> stringent requirernents. <br /> This notification isllqr inf rmati n pumoscs Orly, ` <br /> Driver siened effil Bate/ — – G9,eraicrsign ad Cate? <br /> By signing the invoke the generator ceriiiau that t'1e generator has e9tabli a progra-n to reduce the volume or quantity and toxicity o'the haza•dous <br /> waste to the degree,as determined by the renerato-, to be economically practicable. <br /> By bath carries sgning;his involve it will serve as an agreemanl'hat Arnarief n Valley vv,li submit owl rmations for(certain waste streams)to the generator <br /> tha`the r was:e has been transportec"o a license treatment ar Lransler fa.61 fy. <br /> DISPOSAL! RECYCLING FACILffY <br /> O ril ER BANK CIL TRANS FER d RAVOS EINVIRONMIEN7AL SERVICES <br /> 5300 CLAUS 19CAD• RIVERBANK,CA 95367 t5'5 Sp'vT.A RIVER ROAD•VV_SACRAMENTtJ.:.A 9F.691 <br /> 209-863-8'81 •EPA 0 CAL000190618 916-371-5747-EPA 0 CA0044003bb6 <br /> MPI <br />