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BILL To* <br />* <br />q..Ai(4 CITY CI-Ifn)pON <br />6421 CAPIT0I.. AVE <br />1_of_A, CA <br />d <br />79082 <br />k1V VaICAN V ALLE' AE'CEIVEI)nvoice Number'. <br />IW ASTE 019 INC `15 OC T 1 013 <br />P. p, Bax 3.40 ' Delhi, FAX 209-668 3$8Q g 2 <br />PH. 1-800�732�464� ------- <br />Invoice <br />-�— <br />EPA. CAL0008.""3 ENVIRONMENTAL <br />TH EPA., <br />Invoice Date: <br />Customer P 0. <br />Phone <br />PRODUCT SHIPPING DESCRIPTIO <br />USED IOL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />USED AUTOMOTiVE ANTiFREEZF_, NON <br />RCRA HAZARDOUS WASTE UQUiQ() <br />Oi> Y WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />NE1"RiNITY HEAVY DUTY PREMIX <br />RECY_GLED ANTIFREEZE <br />ON WASTE LIQUID <br />-TRUCK TIME <br />GREASWEEP <br />OB SITE <br />FLA G? CITY (,;HEVRON <br />HWY '12 & i •iV1i Y <br />I..O[)I, CA <br />Payment Terms <br />WASTE MANIFEST QUANTITY <br />CODE <br />221 <br />343 <br />221 .;r%_::; a <br />r� <br />7 <br />NIA <br />N/A <br />N/A <br />`ltevo <br />PRICE <br />ANIpl1NT <br />-- <br />�tilil%-lilt <br />Pre <br />rrllx that <br />other waste, that the total halidesealegai dfsss Ihosaifitgthis wasal -te is over TOTAL ,( <br />mixedwasItjagree to accept the additional charger <br />p <br />I hereby certify that i have not PB.'Ss 1 iurltiewit9 any i <br />the waste does not contain any C.g.'s. AUTHORIZED <br />l000 P.P.M. total halides, or containes an P. --- GENERATOR/ AUTHOR <br />DRIVER 1F , F° <br />SIGNATOR_ <br />SIGNATURE <br />A 1 5`� SEFIVICE CHARGE. CUSTQMEfl AQR�ES To PAY ALL LEGAL d i co <br />t)AYS ARE Sul COLLECT TRIS INVOICE' t re uirements applicable to hazer <br />TERMS' INVOICES OVEB 3 NECESSARY TOJECT TO <br />the Generators shipment of used oil may be transported to a facility that is reaqudrreome o <br />COUPT ACTION F� wired to comply with the more sirinf38r' ent fequirementsI <br />advises the above Generanot ompl to meet those mora strinfl <br />ticabfe to management of used oil, btl that <br />used oil are req and-financlai assurances for cfosuee <br />Amer Valley Waste oil hereby prccerttt'N:ati°ns o1 tanK inte ridmanagement standards and not these <br />with federal regulations app et those requirements, engineering only with federal used <br />waste management facilities-ousedfOil naflBOclmees that handle °r <br />state fa . ities that p } <br />ccidental releases. It is lawful to send used oil tD out�of-state facilities that comp Y f'1 Date �"--`'"--� <br />a 1) �_� •„`—_— of me haze <br />stringent requirements. purposes, onlysl <br />.,, �„ f h •• eenerator signed <br />This notification is for Intorrrmeti°n perp _ _ Date ^ . am to reduce the°rums "T'luantlty and toxic) y <br />racticall certain waste streams} to the ger <br />_ __ the generator has established a Pr°9r <br />Driver signed `` clef ad <br />certifie ens ator, to h6 economically p <br />By Signing the invoice the 9 the g <br />to the degree, as determinedibwill serve as an agreement that American Valley well submit cantirmatlons for <br />Waste this invoice ent or transfer tacif - <br />y both <br />pwaste hsigning <br />as It trra�rtispnrteed to a license treatm <br />Sf OS” CYCL {VG FA - - SACHAMi*NTO, CA 95691 <br />C) RAMQS ENVIRONMENTAL SERVICE=S <br />VER ROAD W. <br />Lill 1515 SOUTH RI <br />RIVERBANK OILTRANSPER <br />CA 95367 916-371-5747 • PPA # CA <br />D003658 <br />aznn CLAUS ROAD • RIVERBANK. <br />.. "i QrIRt 6 <br />