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06/01/2012 16:06 2099488U5 ACMESAW <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P 0, Box 340 ® Delhi, CA 95315 <br />PH. 1-800-732-4645 0 FAX 209-668-3880 <br />CAL000827878 <br />G'1ILL TO. - <br />ACME SAW <br />1204 E, MAW <br />STOCKTON, CA 96206 <br />JOB SITE: <br />ACME SAW <br />1204 E. MAIN ST <br />X AIRPORT <br />STOCKTON, CA 96206 <br />PAGE 04 <br />Invoice Number: <br />Invo Date: <br />Phone <br />Customer P.O. <br />TermsA/1C/--/-Z7 <br />EPA# 3d" &M, A4011 F.Mung - <br />LOE9a-67M DIANA <br />con . <br />i rmi Za 08 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFFST <br />QUANTITY <br />- <br />PRICE AMOUNT <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />6U <br />M. 10 06 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />NON-RCRA Waste Liquid Used Oily Water <br />223 <br />NON Hazardous Waste Liquid <br />Trinity Heavy Duty premixed Antifreeze <br />Trinity Extended Life premixed Antifreeze <br />Trinity Case Goods <br />Truck Wash Out <br />Truck Time <br />TERMS: Irrvoioes over 30 Days are subject to a 1.5% service charge. Customer agrees to pay all legal fees if court action <br />TOTAL <br />bacomt2 necessary to collect this invoice. I <br />By signing I he certify that I have not mixed this waste with any other waste'that the total halides are less than 1000 PPM; and that the waste does not <br />contain any RM's. I further agree to accept ft additional charges for legal disposal if the waste is over 1000 P.P.M. total halides, or contains any PC.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 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 />watite 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 also moot those requirements, engineering ering certifications of tank Int ity, d financial assurances for closure and <br />egil%eanagement <br />accidental releases, It is lawful to send used oil to out-of-state facilities %0t comply only with federal use standards and not these more <br />stringent requirements. <br />This notification is for information purposes only, <br />GENERATOR <br />L;( L <br />LZ <br />DRIVER A.UTHONATURRIZED <br />SIGNAJA <br />TUR IGE: DATE: <br />DATE: <br />- /I �" <br />V - — - -r-w- <br />0 NAME: <br />D18POSAL I BECYCLINQ EKLUTY <br />AWMSS: DK-OIXON 0 RAMOS ENVIRONMENTAL SERVICE <br />CITYIST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691, <br />PHONE: 707-692-5008 215-371-5747 <br />EPAO: EPA # CAT080012602 EPA # CAD044003666 <br />MPG (412010) <br />