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AMERICAN VALLEY 93 t' ' 7 <br /> WASTE OIL, INC. Invoice Numbe <br /> P.O.Box 340 • Delhi,CA 95315 <br /> PH.1-800-732-4645 • FAX 209-668-3880 <br /> BILL TO: > JOB SITE: 10Invoice <br /> Phone Customer P.O. Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTIONWASTE MANIFEST QUANTITY PRICE I AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 <br /> II NON-RCRA Waste Liquid Used Antifreeze 133 <br /> f NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> ((( Trinity Heavy Duty premixed Recycled Antifreeze <br /> I Trinity Extended Life premixed Recycled Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> I <br /> } Truck Time <br /> I <br /> TERMS:Invoices over 30 Days are subject to a 1.5%service charge.Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed 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 4 the waste is over 1000 RPM.total halides,or contains any P.C.B's <br /> Generator's Certification: By signing I certify that 1 have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <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 transported 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 oif are required to meet those more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet 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 /> DRIVER <br /> nlyDRIVER GENERATOR AUTHORIZED <br /> SIGNATURE SIGNATURE/SIGNATURE <br /> DISPOSAL/RECYCLING FACILITY O NAME: <br /> O DK-DIXON Q RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON.CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: <br /> 707-693-6008 <br /> 916-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 EPA#: <br /> Mac(1ca2009) <br />