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t' lERICAN VALLEY <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 6 Delhi; CA 95315 <br /> MAY I H. 1-800-732-4645 • FAX 209-668-3880 <br /> CA L000827878 <br /> VIRONME' NTA14 ,. m PST UONUDAKIS <br /> LIONUDAK =� t <br /> 0:20451 MCHENRY JOB SITE:2507JONES .Invoice Date: <br /> ESCALON,CA 95320 ESCALON, CA 95320 <br /> 3M OIL <br /> Safes Rep: <br /> one Customer P.O. Terms {� EPA# <br /> _ I <br /> ?ODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE ANIOUT <br /> CODE <br /> )N-RCRA Waste Liquid Used Oil/Mixed Oils j 221 rL - <br /> )N-RCRA Waste Liquid Used Antifreeze 133 <br /> )N-RCRA Waste Liquid Used Oily Water 223 <br /> )N Hazardous Waste Liquid <br /> pity Heavy Duty premixed Antifreeze <br /> lity Extended Life premixed Antifreeze r <br /> ity Case Goods <br /> cl, Wash Out <br /> ck Time <br /> NIS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action tjp� <br /> mes necessary to c.11ect:his invoica. t -f <br /> gr,ing I harl:y certify_that f have no-mixed this waste with any other waste,that the total halides are less than 1000 PP.M;and that the waste does not <br /> tin any P.C.13's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total hafdes,or contains any P.C.B's <br /> rrator'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 /> determined to be economically practicaria. <br /> )th parties signing this invoica it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams) to the <br /> razor that their waste has been transported to a licensed treatment or transfer facility. <br /> -jean Valley Waste Oii hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> edera!regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> management facilities.Cali ornia facilities that handle or process used oil are required to meet those more strin.9ent requirements,and some out-of- <br /> facilities that process used oil also meet'those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> enaf releases.It is lawful:o send used oil to out-of-state facilities chat comply only with federal used oil management stancards and not these more <br /> tent requirements. <br /> notification is for inforrnatlo-i purposes only. <br /> ~ GENERATOR/ <br /> =R ____� v AUTHORIZED <br /> aT URE:z DATE: SIGNATURE-/ ©ATE: <br /> NA.'OE: DISPOSAL/ RECYCLING FACILITY <br /> AooPEss: / DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> GITv,'S": 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON,CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6005 916-371-5747 <br /> ENw; EPA 4 CAT050012602 FPA:7 CAD044003556 <br />