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P. O. Box 340 • Delhi. CA 95315 <br /> PH. 1-800-732-4645 • FAX 209.658.38 <br /> EPA. CAL000827878 <br /> Invoice Ntc <br /> BILL "1'0: ,1011 SITE, <br /> phone Customer P.O. Payment Terms EPAff <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> _ CODE I <br /> USED OIL NON RCRA HAZARDOUS -� <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID _ .343 <br /> OILY WATER, NON RCRA HAZARDOUS T <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY 50/50 <br /> RECYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> TERTO InAty ALL LEGALOVER FEES FDDAYSCOUR TACTRE ION ACTIONCT TO A 1.5% SERVICE CHARGE.BECOMES NECESSARY TO COLLECT THIS NE EES <br /> INVOICE TOTAL <br /> DRIVE-'R GENERATOR <br /> SI(;NATURE _ _ _ SIGNATURE <br /> Aln9nren Valley Waste Oil her§by advises the above Generator the Generators shipment of used oil may be transported to a facility the?is required to comoK <br /> "41,fsrlorat regulations applicable to mentognmont of used oil.but that Is not required to comply with the more stringent requirements applicable to hazardous <br /> waslo management laclittes. California facihlies that handle or process used Oil are required to moot those more stringent requirements. and some out-et <br /> :tato far:li ies that nmr.ess used oil also moat those requirements,englneadng Certifications of lank integrity,And flnanciet assurances for Closure acd arri <br /> ,lona',rweases. II is lawful to send used oil to oul•of•stats fecilldes that comply only with federal used oil thanagemenl standards and not these more slrin <br /> gent rernrlremenls, <br /> Tis nnliliealinn--s for Inik rmation purposes only. <br /> Drover signed.. . _.... ._—_.___...Dela <br /> my sinning Ina I .._...--'-'—"--- Generelot signed ._ Date, <br /> nvpfCe thil generator ceraliea that the generator has established a program to reduce the volume or quantity and toxicity of the hacardous <br /> wastv to the degree, as determined by the generaloi,to be economically practicable, <br /> ey both names slgning Irim invoice It will serve as on agreement that American Valley will submit conllrmallons 10,(Certain waste streams)to the gansra:c- <br /> o+al their woets has heen transported to a license trealment or transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5,100 CLAUS ROAD•RIVERBANK, CA 95387 1515 SOUTH RIVER ROAD•W, SACRAMENTO.CA 95601 <br /> 209.863.8181 •EPA 4 CAL00019087B 918.371.5747• EPA 4 CA0044003556 <br /> _...-- MPC r+;2ro3t <br />