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Mar 12 09 08: 43a tom price 209-365-6781 p. 3 <br /> AMERICAN VALLEY -- <br /> ~ , WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 77961. <br /> PH- 1-800-732-4645 • FAX 209-668-3880 <br /> EPA- CAL000827878 <br /> Invoice Date: <br /> BILL TO: JOB SITE: GASOLINE ALLEY <br /> GASOLINE ALLEY 820 S. BECKMAN RD <br /> 820 S. BECKMAN RD LODI CA 95240 <br /> I--ODI, CA 95240 <br /> r�'1 yl Sales . . EDWARUGARCI - <br /> Phone <br /> Customer P.C. PaYrne t Terms EPA# <br /> 209-365-6747 TOM Net 30 Days CAL000267320 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> f� <br /> USED OIL NON RCRA HAZARDOUS 221 7 G -L 1 1 � <br /> WASTE LIQUID <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS 221 <br /> WASTE LIQUID <br /> TRINITY HEAVY DUTY PREMIX N/A <br /> RECYCLED ANTIFREEZE <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> Trinity Emended Life Premix recycled Ardifreez <br /> 1 hereby certify that I have not mixed this waste with any other waste,that the total halides are less than 1 o0o P.P.M.;and that <br /> the waste does not contain any PC.B.'s.I further agree to accept the additional charges for legal disposal if this waste is over TOTAL {.f) <br /> folio P.P.M.total halides,or contains any P.C.B:s. <br /> DRIVER GENERATOR AUTHORIZED - -.; % ... <br /> SIGNATURE — SIGNATURE/SIGNATURE <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> American Valley Waste Oil hereby advises me above Generator the Generators shipment of used oil he mortransported^gent requirements applicable a facility that is hazardous <br /> with federal regulations applicable to management of used oa,but that is not required to comply <br /> waste Maagement facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-Of- <br /> waste <br /> ns of tank <br /> state <br /> facilitiental e that pr is lawful standalso <br /> sed oil to out-of-state meet those tauirem cit ties that comply only, engineering awith federal used oil management and standards and assurances fnot these more <br /> stringent requirements. _ . <br /> This notification is for in atio purposes only. <br /> Driver signed <br /> -' ''bate �' �' �� Generatorsigned - Date +' J <br /> By signing the invoice the generator certifies that me generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br /> waste to the degreeas determined by the generator,to be economically practicable. bmit confirmations for(certain waste streams)to the generator <br /> By both parties signing this invoice it will serve as an agreement that American Valley will su <br /> that their waste ties been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> RIVERBANKOIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD• RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691 <br />