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AMERICAN VALLEY M600 <br /> WASTE OIL, INC. Invoice Number: <br /> P.0.Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209.668-3880 <br /> CAL000827878 <br /> BILL TO:FARMINGTON FRESH JOB SITE:FARMINGTON FRESH [nvoi a Date: <br /> 7735 FRONTAGE 99 WEST 7735 FRONTAGE 99 RD WEST <br /> STOCKTON, C4 95215 STOCKTON, CA 95215 <br /> X:ARCH <br /> Sales Rep: <br /> PIM9839700 JIM Customer P.O. Terms EPAH <br /> G CAL00028%55 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water <br /> NON Hazardous Waste Liquid 31 ✓ <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL -3T7, 5-(1V <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 RPM;and that the waste does not <br /> contain any P.C.B's. 1 further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total halides,or contains any P.C.B's <br /> Generator's Certification: By signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <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 /> slate 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-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes only. <br /> GENERATORDRIVER % <br /> ORIZED <br /> SIGNATURE' DATE: AS GNgTURE:� <br /> DATE:6ni <br /> O NAME:' // <br /> DISPAL/ R YCLIN` AGILITY <br /> ADDRESS: DK-DIXON <br /> O RAMOS ENVIRONMENTAL SERVICE <br /> CITYIST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON,CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: 707-693.6006 <br /> 916.371.5747 <br /> EPA#: EPA#CAT080012602 EPA If CAD044003556 <br /> MPC(42010) <br />