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AMERICAN VALLEY F,9 Ez:,CEffF�i- nvo18 86 <br /> WASTE OIL INC. iceNumber: <br /> 3 1'040 <br /> P. O. Box 340 Delhi, CA 95315 <br /> ""PH. 1-,900-732-4645'o FAX*2109-6.6,8;- 88&NVI ON[<Ak `J iNC LTH <br /> �J EPA. CAL000827878 PER k,lT/SERV 1(11r (( _ <br /> I.. <br /> BILL TO: JOB SITE: Invoice Date: <br /> VAN DE POL RIGHETTI ENTERPRISES <br /> P.O BOX 1107 1627 E CHANNEL ST <br /> STOCKTON,CA 95201-1107 X: WILSON WAY <br /> STOCKTON,CA 95205 <br /> 1 MO SCH . Sales fb :.Steve <br /> Phone Customer P.O. Terms EPA# <br /> 209-464-8306 RAY Net 30 Days CAL000023810 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils . <br /> nP C <br /> Nil <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous-Waste Liquid <br /> Trinity Heavy Duty premixed Recycled Antifreeze <br /> Trinity Extended Life premixed Recycled Antifreeze <br /> inity 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 if court action TOTAL <br /> becomes necessary to c3lfect this invoice. ,�V <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 PRM;and that the waste does not <br /> contain any P.C.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.K0ltotal 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 maybe 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-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification i information purposes only. - - <br /> DRIVER GENERATOR AUTHORIZED f ' <br /> SIGNATURE SIGNATURE /SIGNATURE <br /> ')ISPOS % R C LING FACILITY O IVAME. <br /> IXON O RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 W.SACRAMENTO,-CA 95691 PHONE: <br /> 707-693-6008 996-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 EPA#: <br /> MPC(10/2009) <br />