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AMERICAN VALLI, _ t 85981 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 34.0 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO:wil QntJ Wev T169= JOB SITE: WILSON WAY TIRE <br /> •• �••••�• ••," � •~ <br /> 1133W. 11TH 3T <br /> 1133 W. 11 TN ST. <br /> TRACY, CA 953 6 TRACY, CA 95376 <br /> $Met Rep: %VS <br /> %9--5-4087 NICK Customer P.O. Payment Terms 30 msy8 EPA AL920796741 <br /> PRODUCT SHIPPING D SCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS F 1 �/ ; <br /> WASTE'LIQUID 221 1 .; M !� { <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HA RDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMI <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LI UID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trinity Extended Lille Premix netyrsied Antifneez <br /> I here- certify that I have not mixed thisliwaste with an other waste,that the total halides are less than 1000 P.P.M.•and that <br /> Y fY Y <br /> the waste does not contain any P.C.B.'s. further agree to accept the additional charges for legal disposal if this waste is over <br /> 1000 P.P.M.total halides,or containes ar�y P.C.B.'s. TOTAL 1' <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE. CUSTOMER AG06EP&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 applicatle to hazardous <br /> waste management facilities. California f cilities 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 all meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> accidental releases. K is lawful to send 4ed oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notifications for in rmation purpos s only. <br /> Driver signed r Date / --e'/ Generator signed Date % r •J <br /> By signing the invoice the generator cert lies that the generator has established a program to redu the v um quantity and toxicity of the hazardous <br /> waste to the degree, as determined by th generator,to be economically practicable. <br /> By both parties signing this invoice it will erve as an agreement that American Valley will submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to license treatment or transfer facility. <br /> DISPOSAL/ ECYCLING FACILITY <br /> O RIVERBANK OIL TRANS ER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD• RI ERBANK, CA 95367 1515 SOUTH RIVER ROAD•W. SACRAMENTO,CA 95691 <br /> 209-863-8181 •EPA#C L000190816 916-371-5747•EPA# CAD044003556 <br /> It(iorz <br />