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AMERICAN VALLE <br />WASTE OIL, INC. <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-..668-3880 <br />EPA. CAL000827878 <br />BILL TO-- COi-.O SPO. 7- <br />54100 I'" PiARNFY LN <br />Invoice Number: <br />70685 <br />,2 - <br />Invoice <br />Invoice Date: <br />JOB SITE: GK)R I NURSR <br />15400 E: F•IARNFY 1AN <br />U,)fid, CA �KQ <br />X: HY99 & CHER(JKE <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />- <br />- j J..1,. -4} <br />Qlt <br />-- -� <br />I- A I P'rrlli'� l�"�F'1 7 <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />?-13- "� <br />t9rAg5 <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 PREMIX <br />RECYCLED ANTIFREEZE <br />NIA <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />NIA <br />GREASWEEP <br />NIA <br />FUEL S UF'� <br />5 1196, <br />I hereby certify that I have not mixed this waste with any other waste, that the total halides are less than 1000 P. P.M.; and that <br />L;� <br />the waste does not contain any P.C.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over <br />t <br />1000 P.P.M. total halides,.ortbntaines any P.C.B.'s. TOTAL' <br />DRIVER �GENERATOR/ AUTHORIZED <br />SIGNATURE -Z�P-'� SIGNATURE / SIGNATURE •'." <br />TERMS: INVOICES'/OVER 30 DXYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES f0`PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <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 not these more <br />stringent requirements°. ,.;+ <br />This notification is for a"tion p oses only. r y , -y <br />--Date d. <br />U-' <br />Driver signed / ^-•"" Generator signed ' ;�% Date <br />By signing the invr5ice thVgg,r(erator certifies that the generator has established a program to reduce the volurr'ie 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 />O 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 9 CAD044003556 <br />MPC (101200 <br />