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AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. O. Box 340 •Delhi, CA 95315 <br />PH. 1-800-732-4645 •FAX 209-668-3880 <br />�? CAL000827878 <br />��,, I C AO cJ� S✓[lc-ii1 1. <br />BILL TO: .� / t0r 445h tt�v s, <br />STOCKTON, CA 9507 <br />, <br />.wr�•u.��at�w. . <br />Invoice Number: <br />Ilnvoice Date: <br />Sales fkp� JULIE: ° <br />Pho t - <br />Customer P.O. <br />Terms <br />EPA# <br />PRODUCT' SHIPPING DESCRIPTION <br />MANIFEST � <br />QUANTITY <br />� PRICE <br />AMOUNT <br />WASTE <br />CODE <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />���� <br />�� 1 <br />��� <br />� � <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 />' <br />Trinity Heavy Duty premixed Antifreeze <br />� <br />. <br />� <br />Trinity Extended Life premixed Antifreeze <br />I <br />Trinity Case Goods <br />Truck Wash Out <br />a <br />Truck Time <br />TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees it court actior� TOTAL <br />becomes necessary to collect this invoice. \ <br />By signing I herby certify that I have not mixed this waste with any other waste, that the total halides are less than 1000 P.I?M; and that the waste does not , <br />cantam any P.C.B's. I further agree to accept the additional charges for legal disposal If the waste is over 1000 P.P.M. total halides, or contains any f?C.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 si�nfng this invoice It will serve as an agreement that American Valley Waste Oil will s�rbmit confirmation for (certain waste streams) to the <br />generator that thea 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 (s not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilities that handle or process used o(I are required to meet those more stringent requirements, and some out-of- <br />state facilities that process used oil also meet those requirements, engmee�ing certifications of tank integrity, and linanclal assurances for closure and <br />accidental rebases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br />stringent requirements. <br />This notification is for information purposes only. <br />- <br />� <br />❑RIVER , � ') AUTHORIZED i � l-'ll1(.�� r_ _ <br />51GNATURE. DATE�(� t, 3 > SIGNATURE: 1 DATE: `C—j f <br />� <br />`f . <br />O "AME: DISPOSAL /RECYCLING FACILITY <br />ADDRESS: O'DK-DIXON <br />J O RAMOS ENVIRONMENTAL SERVICE <br />ctrvrsT: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON, CA 95620 W, SACRAMENTO, CA 95691 <br />PHONE: � 707-693-6008 916-371-5747 <br />EPAR: EPA H CAT080012602 EPA N CAD044003556 <br />MPC (4!2010) <br />