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AMERICAN VALL& 812! <br /> InvoiceNumbc <br /> P;1O'. 8oz•34V' Delhi,.CA 95315 <br /> PH. 1`-800.732.4645..FAK.209-..6168.3880 <br /> EPA.CAL000827878 <br /> v <br /> ' invoice llu <br /> 1311.E TO: j�(. � �(� s °r1 JOB SITE: s� �7�'!,? �kjYl, <br /> 76; 7 rG "W�• <br /> ir� cp Z3 <br /> Phone Customer P.O. Pay�ent Terms pvO <br /> Sd3� n,P-T3 0 <br /> �. ,. . <br /> PRODUCT SHIPPING DESCRIPTIONWASTE. °` MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED UTOMOTIVEANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 /yy IT <br /> WLIQUID 73 <br /> ION RCRAWAZARDpUS <br /> WASTE 221 6 J F-0. ! •. -34<bo< <br /> TRINIT HEAVY DUTY PREMIX <br /> RECYC ED ANTaFREEZE.:: -,x-:•t: ;,,, .N/A" -Jk,. _.» <br /> NON H ZARDOUS WASTE LIQUID <br /> TRUCK IME N/A <br /> GREAS EEP N/A: .., <br /> r2: <br /> I hereby m nify that I have not mixed this wastewith y6thor wa9toI,.lhat the IoW halides are less than 1000 P.P.M.;and That CJ <br /> the waste' oes not contain any RC,B.'s.I further agree'to sceeptth addltlon ll charges for legal disposal if this waste Is over <br /> 1000 P'Rill L total halklesevrnontalres an .'s. 1 TOTAL .. <br /> DRIVER GNERgTOR/AUTHORIZED ` <br /> SIGNATURE SIGNATURE SIGNATURE <br /> TERMS:'NVOICE OVER 30 DA S ARE SUBJECTTO A'T.5%SERVICE CHARGE.CUSTOMER AGREES TO PAY ALLLEGAL FEES IF <br /> COURT CTION BECOMESNECESSARYTO'COLLECT THIS INVOICE <br /> American alley Waste Olf hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that Is required to comply <br /> with fedare I regulations applicable to management of used oil,but that Is not required to comply with the more stringent requiroments applicable to hazardous <br /> waste management facilities. California facilities that bandle.oCprocess,used oil are required to meat those more stringent requirements, and some out-of• <br /> state facll ies that process used all also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> accidental)releases, 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 iquIre n s / <br /> This notil tion Ls to of tion urposes only. .. �j��"7 `�( .. ..... . .. �� �n <br /> Driverslgned _ pates L (/(, Generator signed Date V <br /> By slgning the voice th g orator certifies that the.generator.has established a program to reduce the volume Or quantity and toxlclty of the hazardous <br /> waste to)he d,gree,ee determined by the generate;`to be:ecbrwmlbagy_pracdcable. ^',, <br /> By both parties signing this Invoke It will serve as an agtaement tr al Ametkan valley wlii'submit confirmations for(certain waste streams) to the generator <br /> that their wa$te has been transportK10 a license treatment.or transfer facility, <br /> ,��DISPOSAL'/ RECYCLING^ AGIbITY' <br /> ITRIVERBANKOILTRANSFER "'MO RAMOS ENVIRONMENTAL SERVICES <br /> .5300 CLAUS ROAD- RIVERBANK,CA_ 9336.7- 1515 SOUTH RIVER ROAD r W. SACRAMENTO,CA 95691 <br /> :.209-883.8181 •EPA 0 CAL000190818, 916-371.5747-EPA rt CAD044003556 <br />