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*AMERICAN VALLEY 0 4")"6581 <br /> WASTE OIL, INC. Invoice Number: <br /> P. O. Box 340 - Delhi, CA 95315 <br /> PH, 1-800-732-4645 - FAX 209,668-3880 <br /> EPA. CAL000827878 <br /> twice ate: <br /> BILL TO: JOB SITE: <br /> 51 KrURA CHUII ,CAL <br /> CkplMic1d, <br /> I(tj <br /> 9$205 <br /> STO7-I1=j;Nf,. 5t4205 <br /> Phone Customer P.O. payment Terms A <br /> MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> PRODUCT SHIPPING DESCRIPTION CODE <br /> USED OIL NON RCRA HAZARDOUS 221 <br /> WASTE LIQUID <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> TRINITY HEAVY DUTY PREMIX <br /> RECYCLED ANTIFRaEZE NIA <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> I hereby certify eae with any other waste,that the total halides are to-than itloo P.P.M.;and that <br /> that I have not mixed this wc I if this waste is over <br /> the waste does n main any P S.'s I further agree to accept the ndkih anal charges for legal dispose TOTAI- <br /> 'a,or cont�C <br /> 1000 P.P.M.total not <br /> 1�95 any P.C.B.'s <br /> DRIVER GENERATOR/AUTHORIZED 7 <br /> SIGNATURE SIGNATURE/ SIGNATURE <br /> TERMS:INVOICES OVER 30 DA SUBJECT <br /> TO A <br /> 1.5/ SERVICE CHARGE.CUSTOM OM�ES• arWL IF <br /> COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE <br /> the above Generator the Generators shipment of used oil may be transported to a facility that is T-quired to comply <br /> American Valley Waste Oil hereby advises is not required to Comply with the more stringent requirements appiceble to hazardous <br /> with federal regulations applicable to management of used oil,but that i <br /> waste management facilities.California tecititi that handle of process used Oil are required to Meat those more stringent requirements, and some out-of- <br /> nd <br /> statri facilities that Process used all also meet those requieemants, engineering certifications of tank integritma <br /> , and financial assuranc-1; snot <br /> closuirs a <br /> accidental releases, it it;lawful to send used oil to out-of-state facilities that comply Only with federal used oil management standards and notthetre more <br /> stringent requirements <br /> This notlilcation is for inforaThon purposes'only. 'G (n Date f—�): <br /> Driver signed Date Generator A­ <br /> 2�1 - m t oxIolIV4 hea an36 <br /> ./ to ram <br /> By signing the�mrroka vikrerafor GUTUIlub U�.' .'.generator has a9tab[tSAad a program <br /> waste to the degree,as determined by the generator,to be economically practicable, <br /> t American Valley will submit confirmations for(certain waste strearre)to the generator <br /> By both parties has <br /> this invoice it serve as Rr)agreement the <br /> that their waste has been transported tolls license treatment of transfer facility. <br /> FACILITY <br /> DI 0 RAMOS ENVIRONMENTAL SERVICES <br /> Q'RIVERBANK OIL TRANSFER 151 sSOUTH RIVER ROAD-W.SACRAMENTO,CA 95691 <br /> 209-863-8181 -EPA 4 CAL0001 908 16 <br /> 5300 CLAUS ROAD-RIVERBANK,CA 95367 916-371-5747-EPA 9 CAD044003556 <br /> 26ZR C96 SOZ YVJ 60:CT 900Z/C0/0T <br />