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AMEMCAN VALLEY . 90781 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 • Delhi, CA 95315 <br /> P-H. 1-800-732-4645 • FAX 20668-3880 <br /> 12 -10 <br /> BILL TO: JOB SITE: Invoice Date: <br /> J.M EQUIPMENT JOB M EQUIPMENT <br /> 1245 W.CHARTER 1245 W. CHARTER WAY <br /> STOCKTON,cA 95206 STOCKTON, CA 95206 <br /> Sales :Steve <br /> Phone Customer P.O. Terms EPA# <br /> • 209-466.0707 SCOTT Net 30 Days I CAD982464240 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA-Waste Liquid Used Oil/Mixed Oils 221 - tv <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Recycled Antifreeze <br /> Trinity Extended Life premixed Recycled Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> .F103S s iG <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL NI <br /> becomes necessary to collect this invoice. <br /> ey signing I herby certify that l have not mixed this waste with any other waste,that the total halides are less than 1000 PPM;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 P.P.M.total halides,or contains any P.C.Us <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 Oil will submit confirmation for(certain waste streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <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 <br /> accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal ubed oil management standards an of these more <br /> stringent requirements. <br /> This notification i informs' purposes only. <br /> DRIVER GENERATOR AUTHORIZED � <br /> SIGNATURE SIGNATURE /SIGNATURE ( dT/ U <br /> )ISPOS L / E YCLING FACILITY O NAM : <br /> ,er'DK-DIXON O RAMOS ENVIRONMENTAL SERVICE ADDRESS: <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 W.SACRAMENTO, CA 95691 PHONE: <br /> 707-693-6008 916-371-5747 <br /> EPA#CAT080012602 EPA#CAD044003556 - EPA#: <br /> MPC(1 1 9) <br />