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BILL TO: R I <br />PON AUTO CEN <br />212 E. MAIN <br />RIPON, a 953154, <br />e <br />AMERICAN VALLEY 90533 <br />WASTE OIL, INC. Invoice Number: <br />P.O. Box 840• Delhi, QA, 95315 <br />. <br />1-800-732-4645 •FA"209-668-3880 <br />EPA. CAL000827878 �.. <br />Invoice Date: <br />JOB SITE: RIPON AUTO CENTER <br />212 E. MAIN ST. <br />RIPON, CA 9536 <br />Sal as Pan- oinL rl.ni l <br />Phone <br />Customer <br />P.O. <br />Payment Terms <br />EPA# <br />209-599-3767 WILL <br />Net 30 Days <br />CAL000137682 <br />PRODUCT SHIPPING DESCR PTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUr <br />WASTE LIQUID <br />221 <br />l <br />f <br />USED AUTOMOTIVE ANTIFREEZE, <br />NON <br />RCRA HAZARDOUS WASTE LIQUI1 <br />1 <br />343 <br />OILY WATER, NON RCRA HAZARD <br />US <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />I <br />RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />Trinity Extended Life Premix recyc ed Antifreez <br />I hereby certify that I have not mixed this wasti <br />with any other waste, that the total halides are less than 1000 P.P.M.; and that <br />the waste does not contain any P.C.B.s. l furth r agree to accept the additional charges for legal disposal if this waste is over <br />TOTAL <br />1000 P. P.M. total halides, or containes an P. <br />:s. <br />- <br />DRIVER <br />GENERATOR/AUTHORIZED <br />SIGNATURE <br />SIGNATURE SIGNATURE <br />TERMS: INVOICE VER 30 DAY6 AR <br />SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSAI <br />1Y TO COLLECT THIS INVOICE. <br />American Valley Waste Oil hereby advises the <br />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 managei <br />nent of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California faciliti <br />as 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 also meet <br />those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br />accidental releases. It i wful to send used <br />oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br />stringent requiremen s. <br />I <br />This notification is for' r 14 tion p poses o !!Y.— <br />Driver signed <br />Driver <br />Date/ Generator signed - "" Date <br />By signing the i ice the g erator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br />waste to the de ee, as determined by the gE <br />nerator, to be economically practicable. <br />By both parties signing this invoice it will ser,% <br />a 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 />RECYCLING <br />FACILITY <br />,,",,DISPOSAL/ <br />e DK-DIXON <br />0 RAMOS ENVIRONMENTAL SERVICES <br />7300 CHEVRON WAY • DIX <br />N, CA 95620 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />800-727-2879 • EPA # CATO 0012602 916-371-5747 • EPA # CAD044003556 <br />I MPC (01/2001 <br />