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Jul 13 05 01 Julie Huber 209-6683880 p.4 <br /> AmERiCAN VALLW <br /> RiErYCLE WASTE OIL, INC. Invoice Vum <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 /> HILL TO: � `lt JOB SITE: <br /> JAGUAR EXPRESS JAGUAR U.PRESS RECEIVED <br /> o. SOX 30785 3798 S. F%' i �9 JUL 13 2005 <br /> TOCKTON, CA 95213 STGCK[O?], CA 95.15 <br /> ��CJ SAN,iOAQUIN COUNTY <br /> 1 OFFICE OF EMERGENCY SERVICES <br /> Phone Customer P.O. Payment Terms EPA# <br /> 209-460-0877 JEROME C.O. D. 1(.-3,L00025218'_" <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUN <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 Ly. C. <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER. NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY 50150 <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> TERMS:INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES <br /> TO PAYALL LEGAL FEES IF COURTACTION BECOMES NECESSARY TO COLLECT wvOICe. TOTAL <br /> DRIVER GENERATO <br /> SIGNATURESIG NATUR —tic_, <br /> American Valley Waste Od hereby advises the above Generator the Generators shipment of use may be fransported t a r ility that s requ red;o curl <br /> with federal regulations applicable to management of used oil,but that is not requaat tocompty, ith the mere stringent requirements applicable to hazardo <br /> waste management facilities.Calilomia facilities that handle or process used oil are required to meet thosa more stringent requirements, and scme out <br /> state facilities that process used ori also meet those requirements,engineering certifications of tank integrity,and tinancia assurances for closure and ac <br /> dente releases. If is lawtul to send used oil to out-ol-atate fae les that comply only with Iederai used ca management atanda,-ds and nct these more so <br /> gant requirements. <br /> This notification is fo/r iniormatyipn purposes only. <br /> Driver signed Date,��--�7 --0�/ GeneratcrsiggtodLce <br /> Date <br /> By signing the invoice the generator certifies that the gani has established a prograthe volu e, quad t and toxicity of t.ie hazardo <br /> waste to the degree,as determined by the generator,to be economically practicableBy both parties signing this invoice i1 will serve as an agreement that Amoricmt Valley willifitmalions tar icertain waste streams)to the general <br /> that tneir waste las been transported to a license treatment a transfer facility. <br /> ��,���DISPOSAL! RECYCLING FACILITY <br /> E'TRIVERSANK OIL TRANSFER O RAIAOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD-RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD-W. SACRAMENTO,CA 95691 <br /> 209-663-8181 -EPA . CALOOD190616 916-371.5747- EPA ft CAD044OC3556 <br /> NF <br />