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04/06/2004 08:03 2094671118 AGE STOCKTON PAGE 04/0 , <br /> AMERICAN VALLEY 4053,( <br /> ' <br /> RECYCLE WASTE OIL, INC. Invoice Numb <br /> P. O. Box$40 a Delhi, CA 95315 <br /> PH. 1-800-732-4645 a FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Vo Ce <br /> BILL TO: JOB SITE: <br /> ADVANCED oz() <br /> Phone Customer P.O. PaymOnt Ter"nis EPA# <br /> 20P­­�6-?-1'.,'_')Q6 •11'11C- AP i�_'t 3%7j Day. <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST- QUANTITY PRICE AMOUN <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY-HEAVY DUTY 50150 <br /> RECYCLED ANTIFREEZE NIA <br /> NON HAZARDOUS WASTE LIQUID t. <br /> L <br /> TRUCK TIME NIA <br /> GREASWEEP N/A <br /> TERMS:INVOICE$OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE,CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE.• TOTAL <br /> DRIVER GENERATOR <br /> SIGNATURE lja. <br /> -SIGNATURE <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facilRy that is required to comp <br /> with federal regulations applicable to management of used ol,but that 6 not required to comply with the more strfrigent,reqUirements applicable to hat ardoi <br /> waste management facilities.Catifornia facilities that handle or process used oil are required to meet those more stringent requirements,and some out C <br /> state facilities that prooess used oil also meet those requirements,Gnglnaering oertifloatiuns of tank Integrity,and financial assurances for closure and as <br /> dental releaser. It is lawful to send used oil IQ out-of-staffs facilities that comply only with federal used oil management standards and not these more stri <br /> gent requirements, <br /> This nofficatlon Is for information purposes only. <br /> Driver signed Date '.""i Generator signed Date <br /> Ay signing the Invoice the generator oortifies that the genofftr has established a program to <br /> war-to to the degree,as determined by the generator,to be economically praclicablo. <br /> By both"es signing this Invoice it wil serve as an agreement that American Valley will submit confirmations for(certain waste streams)to 1he generat <br /> that their waste has been transported to a license treatment or transfer facility. <br /> DISEMSAL I RECYCLING FACILITY <br /> RIVERBANK OIL TRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD,RIVERBANK,rA 95367 1515 SOUTH RIVER ROAD a W.SACRAMENTO,CA 95891 <br /> 209-863-8181*EPA#CAL0001 goal 6 916-371-5747 o EPA#CAD044003556 <br /> MR ow) <br />