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AMERICAN VALLEY 95389 <br /> WASTE OIL, INC. Invoice Number: <br /> P O. Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> CAL000827878 / <br /> BILL TO:JOSHUA AUTO JOB SITE:JOSHUA AUTO Invoice Date: <br /> ? �� <br /> u S term r I ro R s-r 820 S.AMERICAN ST <br /> STOCKTON,CA 952C 6 STOCKTON,CA 95206 <br /> Phone Customer P.O. Terms EPA#- <br /> 1)09-298-5139 CARLOS U.u.U. CALGIOW405c34 <br /> PRODUCT SHIPPING DESCRI TION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> f CODE <br /> NON-RCRA Waste Liquid Used',Oil/Mixed Oils 221 <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 An ifreeze <br /> i <br /> Trinity Extended Life premixed A tifreeze j <br /> - - <br /> Trinity Case Goods , <br /> Truck Wash Out <br /> j Truck Time <br /> P <br /> TERMS: Invoices over 30 Days are subje t to a 1.5%service charge. Customer agrees to pay all legal fees it court action TOTAL �/ C <br /> becomes necessary to collect this invoic . <br /> By signing I herby certify that I have not ruxed this waste with any other waste,that the total halides are less than 1000 RPM;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.M.total halides,or contains any RC.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 1 <br /> have determined to be economically prac icable. <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 trans Dorted to a licensed treatment or transfer facility. <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 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 als eet 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 is for information purposes only. <br /> GENERATOR/ <br /> DRIVER AUTHORIZED <br /> SIGNATURE:,0,r,,,,., DATE: SIGNATURE: DATE: <br /> O NAME: DISPOSAL / RECYCLING FACILITY <br /> t ADDRESS. O DK-DIXON <br /> RAMOS ENVIRONMENTAL SERVICE <br /> CITY/ST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> i DIXON, CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: 707-693-6008 916-371-5747 <br /> I EPAX: EPA#CAT080012602 EPA n CAD044003556 <br /> 1 <br /> MPC(4x2010) <br />