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RECYCLE <br />BILL TO: <br />,_ <br />AMERICANALLEY <br />WASTE IL, INC. Invoice Number: <br />P. O. Box 340 - Delhi, CA 95315 <br />PH. 1-800-732-4645 - FAX 209-668-3880 <br />EPA. CAL000827878 <br />Invoice Date: <br />JOB SITE: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />2039-3552G66 <br />11'et 30 Days <br />r--�LOOO 172311.3 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />6 <br />0 <br />r <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />HALOGEN TEST <br />N/A <br />SLUDGE, NON-RCRA HAZARDOUS <br />WASTE LIQUID <br />=NIA <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES <br />TO PAY <br />F, <br />ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THI INVOICE. TOTAL <br />1 <br />DRIVERj� GENERATO <br />SIGNATURE �-< SIGNATURE .; ,��z <br />By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br />and toxicity of the hazardous waste to the degree, as determined by the generator, to be economically practicable. <br />By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for (certain <br />` waste streams) to the generator that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />O RIVERBANK OIL TRANSFER Q RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br />RIVERBANK, CA 95367 W. SACRAMENTO, CA 95691 <br />209-863-8181 916-371-5747 <br />CAL000190816 CAD044003556 <br />MPC (5/02 <br />