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AMERICVAST ANVALL <br />_ Il., Invoice Number: <br />P. 0 Box 340 • Delhi, CA 953'15 7111 7 <br />PH. 1-800-732-4645 • FAX 209-6613-3880 <br />EPA: CAL000827878 <br />ftA <br />TY AUTO REPAIR QUALITY AUTO REPAIR Invoice Date: <br />IL , E. HA DING. JOB SITE• <br />STOCKTON, CA 95205 7246 IiARDING ciAY <br />STOCKTON, CA 95205 <br />�U/ �Q SafcsRsp: gbm-tKchigg <br />ff , <br />Customer P.O. Pay ,: 0a <br />PRODUCT SHIPPING DESCRIPTION <br />. _ _ � WASTE , <br />MANIFEST AP14FE81 QUANTITY PRICE <br />AMOUNT <br />USED OIL NON RCRA HAZARDOUS <br />-4 . , - <br />USEDLIQUID 221 <br />USED_ AUTOMOTIVE ANTIFREEZE, NON <br />RCRA H RDOUS WASTE LIQUID ,,343 <br />a <br />OILY WATER, NON RCRA HAZARDOUS ®. , <br />WASTE LIQUID <br />TRINITY HEAVY DUTY PREMIX 221 <br />RECYCLED <br />N/A Jr <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />S <br />G - ded Lfie Prefn Dc. Ied Arttf a N/A <br />vt U Acl <br />$5.00 <br />I hereb � � .. - <br />Y rtify that thave.not mixed this waste with any other waste, that the total halides are less than 11)00 P.P..M.; and that <br />the waste does not contain any P.G,B.' ` fu r agree to accept the additions( char far I <br />1000 P.P.M. total halides, or s'an t3.'s. !� , legal disposal !f this waste is over <br />DRIVER GENERATOR AUTHORIZED L g <br />SIGNATURE GNATURE /AUTHORIZED <br />TERMS: INVOICES OVER 30 D YS ARE SUBJECT TO A 1.5% . <br />SERVICE CHARGE. GUSTO ER AGR O PA LL LEGAL FEES IF <br />COURT ACTION.BEGOMES NECESSARY TO COLLECT THIS INVOICE. S <br />American Valley Waste Oil he advises the above Generator the Gener&tors shl <br />with faders! regulations applicable to management of used 61( but that is h9 required`to c pmplyqf o ith toil heyinortransported <br />s ring netdrequirem lenthat iss applicable to to haza <br />rdous <br />ouls <br />waste management facllities.,Califomia facUities that handle or process used oil are required ip meet those more stringent requirements, and some out-of- <br />state facilities ase process used oil also meet those requirements,'enginaering certifications' of lank integrity; and financial assurances for closure and <br />accidental releases. Itis lawful to send used' to out-of-state:.facilities fitat 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 signed Date <br />By signing the invoice the generator certifies the generator has established arator program signed reduce the volume or quantity and toDate <br />xicity of the hazardous <br />waste to the degree, as determined by the generator, to be economicallypracticabie. <br />BY.bgth parties signing this invoice it will serve as an agreement that'Amedcan Valley will submit confirmations for (certain waste <br />that their waste has been transported to a license treatment or transfer facility. streams) to the generator - <br />DISPOSAI ! RECYCLING ----f NQ <br />Q <br />RIVERBANK OIL TRANSFER OS ENVIRONMENTAL SERVICES <br />5300 CLAUS, -9181 + 0 AD EPA '# CAL;'RIVERBANK, GA 85367 <br />209-863-8181 EP000190816 _ ` 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />916-371-5747 = EFA # CAD044003556 <br />