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AMERICAN VALLEY 90348 <br /> WASTE OIL, INC. Invoice Number: <br /> P.0. Box 340 9 Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA.CAL000827878 <br /> Invoice I-Xite: <br /> B11A,To : 0 joB srm <br /> - 1 7 BEYER L N, <br /> SVCKT0111f'A 95205 <br /> Customer P.O. Payment Tpri;ris LPRJ, <br /> EPA . M76 <br /> A626 <br /> .......... ........... <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 /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTELIQUID 1 221 ................. <br /> ................ <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFREEZE N/A ...... ............. ............ <br /> NON HAZARDOUS WASTE LIQUID <br /> I .......... ......... <br /> ....................................... .. .............. <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> ............ <br /> J Lim <br /> ....................................... ------- .......... <br /> .. ............ ................. <br /> Ihereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 RPM.;and that <br /> the waste does not contain any RC.R's.I further agree to accept the additional charges for legal disposal if this waste IF,over <br /> 1000 P.P.M.total halides,or container any PC.B.'s. TOTAL ............. <br /> ................. <br /> DRIVER GENERATOR/AUTHORIZED <br /> SIGNATURE SIGNATURE / SIGNATURE <br /> ........... <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJEC-1 TO A 1.64 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 shipi-nerit 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-slate facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements.,, <br /> This notification�546r Information purposes only. <br /> Driver signed....................... Date,__.._ Generator signed ate <br /> By signing the Invoice the gonprator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> 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 waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 DK-DIXON 0 RAMOS ENVIRONMENTAL SERVICES <br /> 7300 CHEVRON WAY-DIXON,CA 95620 1515 SOUTH RIVER ROAD-W.SACRAMENTO, CA 95691 <br /> 800-727-2679-EPA#CAT080012602 916-371-5747-ERA# CAD044003556 <br /> mpc <br />