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AMERICAN VALLEY RE <br />WASTE OIL, INC.��� �- <br />P. O. Box 340 • Delhi, CA 95315 DEC 13 2010 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />CAL000827878 ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />BILL TO: JOB SITE: Invoice Date: <br />'. Y ES'3TlOa; iL r E?ift=3E -.p, �65 <br />Phone <br />Customer P.O. <br />Terms <br />EPA# <br />PRODUCT SHIPPING DESCRIPTION <br />NON-RCRA Waste Liquid Used Oii/Mixed Oils <br />WASTE <br />CODE <br />22-1 <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />LNON-RCRA Waste Liquid Used Antifreeze <br />133 <br />'h federal regula:. - s <br />s= = : e - = management of used oil. but ' - 4 required to comply with the more stringent requirements applicable to hazardous <br />=_ste management ;: <br />s. - _ _ a `ac;FI;es that handle or prc_ _�s .;sed oil are required to meet those more stringent requirements, and some out -of - <br />NON-RCRA Waste Liquid Used Oily Water <br />I <br />223 <br />cidental releases. fa: s that comply only with federal used oil management standards and not these more <br />ngent requireme-s <br />- s notification is fc <br />NON Hazardous Waste Liquid <br />GENERATOR/ <br />-� <br />AUTHORIZED <br />'JRE: <br />unity Heavy (Duty premixed Antifreeze <br />- -AME:- <br />-- DISPOSAL / RECYCLING FACILITY <br />O DK-DIXON RAMOS ENVIRONMENTAL SERVICE <br />- sr: <br />Trinity Extended Life premixed Antifreeze <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691 <br />=-- <br />707-693-6008 916-371-5747 <br />Trinity Case Goods <br />EPA # CAT080012602 EPA # CAD044003556 <br />--I <br />Truck Wash Out <br />Truck Time <br />-m : = s s:bject to a 1.5% service charge. Customer agrees to pay all legal fees if court action <br />TOTAL /0U /" f i <br />�v I <br />not mixed this waste with any other waste. that the total halides are less than 1000 PPM; and that the waste does not <br />=_c-ee to accept the additional charges for legal disposal if the waste is over 1000 P.P.M. total halides, or contains any PC.B's <br />5-:- signing I certify that I have a program in place to -educe the volume and toxicity of hazardous waste generated to the degree i <br />=cmicallypracticable. <br />- z -voice it will serve as an agreement that Ame tca- Valley Viaste Oil will submit confirmation for (certain waste streams) to the <br />: <br />- -:; --sen transported to a licensed treatment c•'ransfer facili'':. <br />- e can Va1;ey'.':a= _ <br />_ _ _:. ad,,ises the above Generator the Ce-e-ators shipment of used oil may be transported to a facility that is required to comply <br />'h federal regula:. - s <br />s= = : e - = management of used oil. but ' - 4 required to comply with the more stringent requirements applicable to hazardous <br />=_ste management ;: <br />s. - _ _ a `ac;FI;es that handle or prc_ _�s .;sed oil are required to meet those more stringent requirements, and some out -of - <br />facilities that :.:___ <br />asc —eet those requiremer�s engineering certifications of tank integrity, and financial assurances for closure and <br />cidental releases. fa: s that comply only with federal used oil management standards and not these more <br />ngent requireme-s <br />- s notification is fc <br />GENERATOR/ <br />-� <br />AUTHORIZED <br />'JRE: <br />-- = SIGNATURE: DATE: <br />- -AME:- <br />-- DISPOSAL / RECYCLING FACILITY <br />O DK-DIXON RAMOS ENVIRONMENTAL SERVICE <br />- sr: <br />7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br />DIXON, CA 95620 W. SACRAMENTO, CA 95691 <br />=-- <br />707-693-6008 916-371-5747 <br />EPA # CAT080012602 EPA # CAD044003556 <br />MPG (4/20101 <br />