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Jun, 11. 2008 4: 03PM WILSON WAY TIRE CO. 209 242-3051 No- 7995 P. 2 <br /> AMLRIUAN VALLEY <br /> 'WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 - Delhi, CA 95315 75546 <br /> PH, 1-800-732-4645 - FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: <br /> JOB SITE: <br /> 17.,3 W*, 11 'Ttf S.11', 1.13 3i a1. 11TH S'T' <br /> TRACY, LA 3-5376 <br /> Phone Customer P.O. Payment Terms EPA# <br /> ?nC)-f�:trt-4Qt�'/ NYC's Pt 'nn T'IRZr GAL�i 07a6'1 1 <br /> PRODUCT SHIPPING DE CRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> "USED OIL NON RCRA HAZARE OUS <br /> WASTE LIQUID 221 (, <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LI UIO 343 <br /> OILY WATER, NON RCRA HAZ RDOUS <br /> WASTE LIQUID 221 <br /> TRINITY;HEAVY DUTY PREMI <br /> RECYCLED ANTIFREEZE N/A' <br /> q,.. . <br /> NON HAZARDOUS WASTE LIO ID <br /> TRUCK TIME N/A I 'i <br /> GREASWEEP" N/A <br /> Ttil Extended Life Premix recycled Artilr ze <br /> RJEL SI.11'1 CHARGE <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 <br /> the waste does not contain any RG.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over T A <br /> 1000 P.P.M.total halides,or containes a y P.C.B.'s. 1 /`� <br /> i <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE` <br /> SIGNATURE / SIGNATURE <br /> TERMS: INVOI ES VER 30 DAYr ARE SUBJECT TO A 1.5% SERVICE CHARGE.COSTO EE AY A L L IF <br /> COURT ACTION BECOMES NECE15SARY TO COLLECT THIS INVOICE. <br /> American Valley Waste Oil hereby advis a the above Generator the Generators shipment of used oil may be transported to a facillty:that is required to comply <br /> with lederal regulations applicable to ma iagement of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> waste management facilities. California acilities 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 al meet those requirements, engineering certification$ of tank integrity, and financial assurances for closure and <br /> accidental releases. It is lawful to send sed oil to out-of-stale facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. 1 <br /> This notification is for information purpoi as only. �alty <br /> Date ryl-/'}Driver signed pates 1 Generator signed /By signing thei v e generator ce Ifles that the g nerator Lias established a program to avolatoxicity of the hazardous <br /> waste to the degree, as determined by t e 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 transler facility. <br /> DISPOSAL I RECYCLING FACILITY <br /> O'RIVERBANK OILTRAN FER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD IVERBANK, CA 95367 151.5 SOUTH RIVER ROAD -W. SACRAMENTO, CA 95691 <br /> 209-863-6181 - EPA#GAL000190516 916.371-5747- EPA#CAD044003556 <br /> MPC norzoo, <br />