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AMERICAN VALLEY ,—., 90823 <br /> WASTE OIL, INC. Invoice Number. <br /> P.O. Bax 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> BILL TO'�- JOB SITE:.M EQUIPMENT J M EQUIPMENT Invoice Date: <br /> 1245W CHARTER 1245W.CHARTER WAY <br /> STOCKTON.CA 95206 STOCKTON,CA 95206 <br /> so"Pap:Stena <br /> Phhg 4 466.0707 SCOTT Customer P.O. Terst 30 Days EPA#CAD982464240 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Wasteiiquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 '. S <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 /> r <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 S <br /> becomes necessary to collect this invoice. <br /> By signing I he certity that I have not mixed this waste with any other waste,that the total halides are less than 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 P.P.M.total halides,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 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 used oil management standards and riot these more <br /> stringent requirements. Y <br /> This notification is for in ation purposes only. , �,.� x <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE — SIGNATURE /SIGNATURE <br /> jISPOSAL / RECYCLING FACILITY O NA . <br /> DK-DIXONADDRESS: <br /> RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD CITY/ST: <br /> DIXON, CA 95620 — W.SACRAMENTO, CA 95691 PHONE: <br /> 707-693-6006 916-371-5747 <br /> EPA#CAT080012602 EPA#CA0044003556 EPA#: <br /> MPC(10/2009) <br />