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.41111116 <br />05/04/2011 12:12 1-209—W185 I JIM THORPE OIL I PAGE 01/02 <br />. ANMIWANV,�LLEy ? 311 <br />W -AS -Ta Ott::; lrfic' Invoice Number: <br />R O;:B,ox•-340•Delhi, CA 951315 <br />} <br />PH. 1-800.732•.-46/45 . FAX'209468;388o <br />-'13�-:rw.r•. ....w.re«r••. :.b,..s�°. .i., VA'WSIQUcrG l•Ol �..... � ' <br />7/0 <br />$�z:i'�.+`-'huh ' . v .hos srr:' �-"�"..�.1�•• . <br />L IQ_0s G U%ti 31Z4W voice Date;. <br />tUC SHIPPJNG .DESCRIpTION <br />NON-RCR•A Waste Liquid Used OiUMixW Oils' <br />NON-RCRA Wast® Liquid Used.Antifreeze <br />NON-RCILA Waste Liquid Used Oily.Water <br />NON Hazardous Waste Liquid <br />Tdn4'Heavy Duty premixed Antifreeze <br />Trinity Extended Life premixed.Antifreeze <br />Trihtty Case. Goads <br />Terms EPA#. <br />.tAT OV451Lei'b�()q <br />MANJFEST <br />WASTE '.. QUANTITY PRICE AMOUNT <br />..CODE <br />221 <br />223 bb' ZA t9, <br />i <br />Truck Wash Out 7.7 <br />Truck Time <br />T6RM9: Invoices over 30 aysare.5ublectToal5%sety harga. Customer•agmas10payalllegaltees'rfcourt dctrott T�TgL ;t060m8. <br />necessar to collect this Invoice. ' <br />c'Ily s ning ! he certify that 1 have not mixed this waste with -any other waste, that the tote) halides are less'tha11 1000 P.p,M; and t este does not <br />oontarn any PG.ggs. 1 further agree Ip accept the addltlonat charges for legal dlaposal ✓f the waste N8 over 1000 P.P.M, total ha ' <br />Cdenera10r's Cartifioatlon; 9y signing t certify thait,l have a. Ade , or arty P.G.Bs <br />have de�rmined t0 be laoonomrcally praeticabla, ,• • ptogram'In place to reducr� the voluble and tdsicify of haaardous waste• generat6d to the degree i <br />By both paries slgnklg this involtas it will serVt}' as.;an'' i t Nati { }�gi l iJ . F" <br />generator that the(r waste has been transparted'to'e Apen,ed' �tm®itt•.or to F iscl�ty �tl` � �u ! 'atlon'16Y.(bortafn waste sfrbams)'to..t' <br />he <br />Amefman Valley Wagkdon Oil hereby advises the above t3ehiarator the isaneetitors shit- 1 Jit of u 11 �I May bb transported to a faitillty that is rsqu;red to comply <br />with ftlderal regulations�1plioable to Man ova of used a!, but chat is ndt rt qufred to c�mphi.witt� the more attirrgete requirements applicable rehazardousply <br />waste management.facil as, California facilities that handle or pr6ceas steed oil are.rre�gqWred.hi•-meeF those y�e <br />state faCiiitlBS that process used oil also mesh 'theme requirements ebgrnaering c'rtlfi'pAtfohs ofer intrnanNr� requirements, and some out-of- <br />'tan=,accidental releasee, It is lawful to send used oil to outrof-stat® 4eoArtles diet canply only wltlt federal il' anagemerrt standards andss for 6103those ore ' <br />stringent ra� irAmonts, ' <br />This not�cstIon Is for informatioh'pi)TOses. only. - <br />��/ <br />DRIVER rr GENERATft. <br />SIGNATURE: �"- Dmf{ I () AUTHOpfZE - / <br />SIGNATURE <br />NAME A' <br />ciri�sr DK-DIXO Q ENVIf30NMENTAL SERVICE. <br />7300 CHEVRON WAY 1515 SOUTtt fiIVEAROAO <br />707 <br />PHONE;.I3$DIXON, OA- 95620 W. SACRAMENTO, CA 95691 <br />70T3J600B 916-371.6747. f <br />EpAtr EPA # CAT0800I2602 EPA # CAD044003556 <br />MPD (412AD10) <br />