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BILL TO: <br />COLOR SPOT NURSIRY <br />.�AOOE, HARNEY L.N. <br />L00), CA 95240 <br />0 AMERICAN VALLEYO <br />WASTE OIL, INC. <br />R O. Box 340 e Delhi, CA 95315 <br />PH. 1-800-732-4645 - FAX 209-668-3880 <br />CAL00082787E <br />JOB SITE: GULUR 8 PORT NU R6RY <br />WO E- HARVEY VVY. <br />LORI, CA 95240 <br />X: HYSS & CHEROKE <br />98327 <br />Invoice Number; <br />1pvoiele Date' <br />Sal" FWP reix <br />PhoneTerms EPAJ� <br />209-333-04235 75�Gr P.O. Net 30 Days CAL0002225317 <br />PlR0r)HC',T SHIPPING 056CRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br />CODE <br />NON-SCRA Waste Liquid Used Oil/Mixed Oils 221 a C) 01, Lo Ac:), oo <br />NON-RCRA Waste Liquid Used Antifreeze 133 <br />NON-FICRA Wast6 Liquid Used Oily Water 223 <br />NON Hazardous Waste Liquid <br />Trinity Heavy DUty premixed Antifreeze <br />Trinity Extonded Lifc prcrnixod Antifreeze <br />Trinity Case Goods <br />Truck Wash Out <br />Truck Time <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 C <br />becomes necessary to collect this Invoice. <br />By sit tat halides; or conialris any RCS's <br />gning I herby certify 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 R.C.13s. I further agree to accept the additional charges for legal disposal if the waste i:5 over 10007-M-10 I <br />canorc' tor'o Condloatiarl'. ey of-9ning I o,oriify that -I hao&a progrwn in p1goa to raducQ jhg volumes and toxicity of h*2!CArH0L1S W;Aete Oj„nA6?tAfl to mA elaarAA I <br />have delonninea to be economically practicat)le, <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 triar waste has been transported to a tjceh:-.ad treatment or Transfer facility, <br />Arnoncan 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 requiredto comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilitieu that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br />state racintles triat process used all al6v niaut ttivwu rtiquirunitmL*, vr4jit:t:jjjly uta[iliukifiuim of kekiiK 11116glity, e1j)cifoancial assurances for closure and <br />accidental releases. It is lawful to &end used oil to out-of-state facilities that comply only with federal used oil management standards and not thess more <br />stringent requirements. <br />This notification is for information purposes only. <br />GENERATOR/ <br />ALITHORZED <br />DRIVER DATE�/ <br />DATE: <br />Ak/ SIGNATUAE; <br />tIGN <br />0 NAME: DISPOSAL I RECYCLING -FACILITY <br />ADDRESSiOK-DIXON 0 RAMOS ENVIRONMENTAL SERVICE <br />CiTY/ST: /7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691 <br />PHONE: 7D7,693-6008 916-371.5747 <br />EPA # CAT0$001.2602 EPA 4 CAD0441003556 <br />EPA#; <br />MPC (4/20101 <br />SIT 39�d ICO -160-100 9991389C60Z ET:LT 1T@Z/L0/Z0 <br />