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REGE AEU <br />AMERICAN VALLEY t A k 7 <br />WASTE OIL, INC. APR 0 6 2015 Invoice Ntunber: <br />P O. Box 40 Delhi, CA�MENTALPH.1-800.732-4645 *FAX 2� <br />CAL00082787$tqGDdRAA=UT <br />LOVES TRAVEL STOPS LOVE'S TRAVEL STOPS S ' -7 -- / 7� <br />BILL TO: ATTENTION: WCHAEL KEY JOB SITE: 1563 COLONY RD <br />10601 NORTH PENNSYLVANIA RIPON, CA MW Invoice Date: <br />OKLAHOMA CITY, OK 73126 <br />Sid" Rep: <br />Ph <br />Customer P.O. <br />Te <br />EPA1f <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />(QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />- <br />NON-RCRA Waste Liquid Used Oil/Mixed Oils <br />221 <br />NON-RCRA Waste Liquid Used Antifreeze <br />133 <br />TM <br />NON-RCRA Waste Liquid Used Oily Water <br />223 <br />_ <br />U <br />NON Hazardous Waste Liquid <br />Trinity Heavy Duty premixed Antifreeze <br />Trinity Extended Life premixed Antifreeze <br />T- <br />-'- <br />Trinity Case Goods <br />Trude Wash Out <br />- <br />_ <br />--- <br />7rtede Time <br />i _ <br />TERMS: Invoices over 30 Days are subject to a 1.5% service charge. Customer agrees to pay all legal fees 0 court action <br />becomes necessa to collect this invoice. <br />-- <br />TOTAL �. <br />By signing I herby certify that I have not mixed this waste with any other waste, that the total halides are less titan 1000 RPM; and that the waste does not <br />contain any P.C.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 RPM. total halides, <br />or Contains any P.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 signing this Invoice it will serve as an agreement that American Valley Waste OU will submit confirmation for (certain waste streams) to the <br />generator that their waste has been transported to a licensed treatment transfer <br />or facility. <br />American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a I&CAty that is required to comply <br />with federal regulations applicable to management of used oA, tn,t that Is not required to comply with the more stringent requirements appik able to hazardous <br />waste management lacibaes. California lacili ies that hancne or process used oil are required to most those more strtrsgertt requirements, and some out•oG <br />state facilities that process used oil also meet those retirements, on�kleernng certifications of tank integrity, and financial assurances for closure and <br />accidentsl nyeases. it is lawful <br />to send used oil to out-of-state tacimies that compel, only with federal used oil management standards and not these more <br />stringent requirements <br />This notification is for inlormon Purposes only <br />(l GENEFi <br />DRIVER ATOfl! `•, � n ..� _ <br />AUTHORIZED ` <br />SIGNATURE: . r !•/ �_ DATE_ SIGNA _ 1. DATE: <br />- %dK-DIXON O RAIL OS ENVIRONMENTAL SERVICE <br />C1TYisT. '— 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON. CA 95620 W. SACRAMENTO, CA 95691 <br />PHONE,_____ 707-693.6008 <br />_ 916-371-5747 <br />EPA. ,^ _ EPA 0 CAT080012602 EPA # CA0044003556 <br />'PC, �4MI01 <br />