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04/06/2004 06:03 2094671918 AGE STOCKTON PAGE <br /> RA 03/053C <br /> 3�jfrre <br /> AMERICAN VALLEY 4 2 <br /> k'�IECYCLE <br /> WA TE OIL, INC• Invoice Numb <br /> h P_ o. Box 340 - Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-658-3880 <br /> EPA. CAI.000827878 <br /> fn voice <br /> BILL TO: ,TOB SITE: <br /> .ADVAUCED �,EO N:i3P--LORI <br /> 8311 »PFS"V1 PID 501 `W� LODI <br /> S'i'0=, GN, CA 9`215 LORI, CA <br /> Phone Customer P.O. Payment Terms EPA# <br /> ZC9�4r`7-a.CID1V Axe Net 30 Days <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUN ' <br /> CODE Y <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 34 <br />+ OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 4 221 T �� <br /> TRINITY HEAVY DUTY 50/50 -� <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME NIA <br /> GREASWEEP NIA <br />{ TERMS: INVOICES OVER 30 GAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES <br /> TO PAY ALI.LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE, TOTAL 1162.V ) <br /> DRIVER _ GENERATOR <br /> SIGNATURE ��"� SIGNATURE <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 comt , <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardoi <br /> waste management facilities.California facilities that handle Cr process usad oil ara required to meet those more stringent requirements,and some out-t <br /> state facilities that process used oil also meet those requirements,engineering certifications of tank integrity,and financial assurances for closure and ac( - <br /> dental releases. It is lawful to send used oil to out-of-state faCiRies that comply only with federal used oil managemeftt standards and not these more stri - <br /> I gent requirements. <br /> This notification is for 9 f rmation purposes only. f <br /> Driver signed Da#e b�' � Generator signed.i i(�quan <br /> Dte c,I Ll <br /> By signing the invoice the generator Certifies that the generator has established a program to reduce the voloxfcily of the hazardo+ . <br /> waste to the degree,as determined by the generator,to be economically practicable. <br /> By Both parties slat ng this invoice it will serve as an agreement that American Valley will Submit confirmations for(certain waste streams)to the general i <br /> that their waste tr lbeen transported to a license treatment or transfer facility. <br /> _D15POSAL I RECYCLING FACILITY <br /> AbRIVERBANK OIL TRANSFER 0 RAMOs ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD-RIVEFI$ANK,CA 95367 11515 SOUTH RIVER ROAD*W.SACRAMENTO,CA 95691 <br /> 20"63-8161 8181 •EPA#0AL00019061e 916.371-5747-EPA#CAD044003556 <br /> RIP[ :t1D31 <br />