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05/03/2011 14:48 1-209- 1851 JIM THORPE OIL I* PAGE e4/e5 <br />AMERICAN VALLEY, <br />WASTOIL' invoice Number: <br />E <br />p,,O_B.0x. 340. Delhi, CA .9511 <br />PH."1-90-0-7a2-4645 'FAX 209468�3880 <br />CAL0o0897878.,-.-' <br />C VT ­4 /C.r snm�z ,Z� VA*u <br />Lro: 0 JO -B. sm... <br />L SLIv4CAU0.. <br />PO (SDK -6 6 <br />Phone vustonler PO, Terms�EPAPI - <br />.. . . . . . . . . <br />QUANTITY AMOUNT <br />PRODUCT VIPPING DESCRIPTION MANIFEST PRICE <br />WASTE <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed'01IS' 221 <br />NON-RCRA WaMe Liquid Used Antilreeze 1'33 <br />NON-RCRA Waste Liquid Used Oily Witter 223. <br />NON Hazardous Waste Liquid <br />Trinity'Hep:vy Duty premixed Antifreeze <br />Trinity Extended' Liffe premixed -Antffreeze <br />Truck Wash Out <br />Truck Time <br />are'subject to. a 1. arge; Customer TOTAL <br />PERMS: I riveloss aver 30 , Pis %-y—we M torrier agrees to pay an legat less it court aotion <br />jb6comes nScMary to collect this Invoice. <br />By Ing1he certify that I have not mb(ad thit waste with -any other waste, that the total halides are less-than,l 000 P.M: and that the waste does not <br />Sign Is. I further agree to accept the additional chargy P.C.818 <br />contain any P.Mv es The [agal disposal 11 the waste is over 1000 P.P.M.P.P.1A. tote] halides, or contains <br />was <br />Generator's Certification: By signing -1 certify that. I have a 009raM In-placeto-reduce tha;voluma and. tokicilty of hazardous '' te.geiirated to the degree I <br />.haw determined to be...edonomic'nipirpractloole. <br />Py both parties signing thisiAvdit:6 a will -,servi'litij Q <br />ai,k��Orjf.`mda'ahNFIS, fb�joetiwh Waste sirbams) to the <br />Agenerator that their -waste has been transported torer Ii6aMbd-*iVii6M or WhAk' ' KY. - <br />American Valley Waste Oil hereby adviso.s the Ga <br />above ritinitor tMe Slantiridors shipment of used .61i may bio transported ta'a fadity that is required to comply <br />with federal regulations applicable to managarrient of Used ofl, but ftt Id not requirod to comply with the more.Atingard requirements applicabrolo hazaliddus <br />wast® that handle grproodsguatid oil arese tied •tb'most'those more stringeAt ratItilrements, and some out -of• <br />state facilities that process used all also m4et'thosa reqvimmentsi alinae-ring co(H eagons of tank to ty� and tinandal'assurances for closure and <br />accidental releases, It Is lawful to send usad oil to but -of -state laoilillias that odmply only with federal used o 'management ptandards and not these more <br />stringent requirement. <br />This rothicatiory is for informatioin only. <br />RAT62' <br />DRIVER /7— 'A"UPH' ORIZeD <br />SIGNAfU A OATE: <br />r .1 - A. <br />FIE' DATE:) Si OINAIUAE: <br />1 <br />0 NAME,GIMEOLSAIF <br />ADORM! - 0K -Di 1408 ENVIAONMENTAL SERVICE <br />OtTyl$*r: 7300 CHEVRON WAY 191s -SOUTH RIVF;FI*AOAD <br />DIXON, CA 95620 WAACPAMENTO, CA 95691 <br />PHONF, 707-693d6008 916-371-5747 <br />-EPA # CAT08001280.2 EPA # CAD"4003556 <br />EPA#; <br />MP04010) <br />