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41AMERICAN VAL IVEL y ' 1 <br /> ? <br /> WASTE OIL, INC. Invoice Number: <br /> JUN 2 4 2015 <br /> P.O. Box 34Q 7, Delhi, CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-6 gRQNMENTAL <br /> CAL000827878 a A1TrJnCO�OTA1C�rT <br /> BILL TO:ACME SAW JOB SITE:ACME SA I voice Date: <br /> 1204 E.MAIN 214 N, SACRAMENTOST. <br /> STOCKTON,CA 96206 LODI,CA 95240 <br /> 3M OIL <br /> Sales Rep:Albert Kelting <br /> Phone Dustombr P.O. Terms EPA# <br /> 209-94$$735 DIANA Net 30 Das CAL000316056 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 2215 <br /> /;!Z* I,J 1 <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 Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> rinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over30 Days are subject to a 1.5%service charge. Customer agrees to pay all legs fees if court action TOTAL <br /> becomes necessary to collect this invoice: nj <br /> By signing I herby certify that I have not Mixed this waste with any other waste,that the total halides are less than 19?0 RRM;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 ver 1 o00 P.P.M.total halides,or contains any P.C:B's <br /> Generator's Certification: By signing I certify that 1 have a program in place to reduce the volume an I 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. j <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil n iay 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 meE t those more stringent requirements,and some out-of- <br /> state facilities that process used oil also meet those requirements, engineering certifications oft nk 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 feder I used oil management standards and not these more <br /> stringent requirements. - <br /> This notification is for information purposes only. <br /> - GENERATOR <br /> ' r 7 AUTHORIZED-- a <br /> j s <br /> f /// DATE.' <br /> DRIVER / <br /> SIGNATURE://// •,,,ti...- "v ''�Cr! DATE: � ( � SIGNATURE: � _a <br /> O NAME: DISPOSAL/ RECYCLING FACILITY <br /> ADDRESS: b�DK-DIXON ' O RAMOS ENVIRONMENTAL SERVICE <br /> anfsr. 7300 CHEVRO WAY 1515 SOUTH RIVER ROAD <br /> DIXON,CA 95E 20 W.SACRAMENTO,CA 95691 <br /> PHONE: 707-693-6008 916-371-5747 <br /> EPA#CAT0800 2602 EPA#CAD044003556 <br /> EPA#: <br /> MPC(412010) <br /> i <br /> _ 1 <br />