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Jun, 11, 2008 4: 05PM WII SON WAY TIRE CO, 209 242-3051 No, 7996 P. 2 <br /> 1-V1V1hK1k A1V v ALLE10 <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 • Delhi, CA 95315 70089 <br /> PH. 1-800-732-4645 • FAX''209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date: <br /> BILL TO: ti..'i ?f f ;':-i JOB SITE: <br /> 'E",.:��\P", ,Y.r� 41",rr.o :. •_Y.i,t ,,,,..t� ..,,..,1."—C <br /> Phone Customer P.O. Payment Terms EPA# <br /> PRODUCT SHIPPING DE CRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZAR OUSCr <br /> WASTE LIQUID 221 1�Z;-, r?�l_ ; 1.,,-� <br /> USED AUTOMOTIVE ANTIFRE ZE, NON <br /> RCRA HAZARDOUS WASTE LI UID 343 <br /> OILY WATER, NON RCRA HAZ RDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMI <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQ ID <br /> TRUCK TIME N/A <br /> GREASWEEP. N/A <br /> C. <br /> I hereby certify that I have not mixed This aste with any other waste,that the total halides ate less than 1000 PPM.;and that <br /> the waste does not contain any P.C.B.'s. I further agree to accept the additional charges for legal disposal If this waste is over <br /> 1000 I.P.M.total halides,or containes any P.C.e.'s. TOTAL <br /> DRIVER / a GENERATOR AUTHORIZED --i- <br /> SIGNATURE <br /> UTHORIZED -SIGNATURE SIGNATURE SIGNATURE <br /> TERMS: INVOICE VER 30"DN S RE SUBJECT TO A 1.5%SERVICE CHARGE, CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECE SARY TO COLLECT THIS INVOICE. <br /> American Valley Waste Oil hereby advise 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 man gement of used oil,but that is not required to comply with the more stringent requirements applicable to haiardous <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 als meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> accidental releases. It is lawful to send u ed oil to out-of-slate facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements :• "–f ; <br /> This notification is for � atio0'purpos s only. <br /> Driver signed Datc�� •� / Generator signed ` / �_ —Dale <br /> By sign4b the i oice t a� enA�ator certi les that the generator has established a program to redlu66 the ume br quantity arra-toxicity of the hazardous <br /> waste to the djree, as determined by the 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 transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> 04�,VERBANK OIL TRANSER 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 4 C L000190815 916-371.5747• EPA#CA0044003556 <br /> MPC(10/2004 <br />