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AMERICAN VALLEY <br />RECYCLE WASTE OIL, INC. <br />P. O. Box 340 • Delhi, CA 95315 <br />_?H._1 -0-0-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />BILL TO: JOB SITE: <br />Sohn Rossi Nab Co. <br />511 N. A�R�IZt U�� <br />X . Ini�icv <br />37086 <br />Invoice Number: <br />—-C7 <br />Invoice Date: <br />Phone ce Fa_. o S)'1 eY Fy <br />Customer P.O. <br />P nt Terms <br />EPA# <br />C209- J <br />! N <br />C oT75 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />v [ �(Fv <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY 50/50 <br />RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES <br />COURT ACTION BECOMES NECESSARY COLLECT TOTAL <br />TO PAY ALL LEGAL FEES IF TO I NVOIC . <br />DRIVER GENERATOR <br />A 1W <br />SIGNATURE SIGNATURE <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 is not required to comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br />state facilities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and acck <br />dental releases. 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 strin- <br />gent requirements. <br />This notificationi f "a on purposes only. �. <br />Driver signed Date l' Generator signed Date <br />By signing the 4hvoice ling generator certifies that the generator has established a program to r uce the olume or quantity and toxicity of the hazardous <br />waste to the degree, as determined by the generator, to be economically practicable. <br />By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for (certain waste streams) to the generator <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />209-863-8181 • EPA # CAL000190816 916-371-5747 • EPA # CA0044003556 <br />MPC (e/2W3) <br />