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"I ARMir,GTON �sH .rots SITE: Fes" <br /> 7735 FRONTAGE 99 WEST 7735 FRONTAGE 99, <br /> STOCKTON, CA 95215 S1 KT <br /> ON <br /> CA <br /> XARCH ; <br /> Sain Rep: <br /> t <br /> Pn� Customer P.O. Payment Terms " ' EPA <br /> 1U��J83 9700 JIM CU°U CAL000289855 - <br /> ✓t/6 cJ <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT . <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS 3$Ur,N <br /> WASTE LIQUID 221 ,14, 3W <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 <br /> TRUCK TIME N/A <br /> GREASW EEP N/A <br /> Trinity Extended Lde Premix recycled Antitreez. <br /> I hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that -v' <br /> the waste does not contain any P.C.B:s.I further agree to accept the additional charges for legal disposal if this waste is over .rA <br /> 1000 P.P.M.total halides,ctri5ctaines ony P B:s. <br /> DRIVER GENERATOR/AUTHORIZED f <br /> SIGNATURE SIGNATURE SIGNAURE <br /> TERMS:INVOICES AITR 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 lank 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 oil managey1and,sand not these more <br /> stringent requirements:" �! n ..� y <br /> This notification is for in �t n u oses pnl . <br /> Driver signed �� Date Generator signed Date ' <br /> By signing the inv9 el a gen rator certifies that the genaratorhas 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 /> ;.O�DK-DIXON O RAMOS ENVIRONMENTAL SERVICES <br /> 7300 CHEVRON WAY-DIXON,CA 95620 1515 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691 <br /> 800-727-2879•EPA 9 CAT080012602 916-371-5747•EPA N CAD044003556 <br /> MPC(012mq <br />