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AMERICAN VALLEY <br /> Invoice Number: <br /> RECYCLE WASTE OIL, INC. - <br /> R O. Box 340 * Delhi, CA 95315 <br /> PH. 1-800-732-4645 - FAX 209-668-3880 <br /> EPA. CAL000827878 <br /> Invoice Date, <br /> BILL TO; JOB SITE: <br /> 7T <br /> 71R j'.1(17, <br /> Phone Customer P.O. Payment Terms EPA# <br /> 7 006 Ap <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> 1 NITY HEAVY DUTY 50/50 <br /> CYCLED ANTIFREEZE N/A <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCK TIME N/A <br /> GREASWEEP N/A <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. TOTAL <br /> DRIVER "V <br /> GENERATOR <br /> SIGNATUEE SIGNATURE r, <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil maybe 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 a0ci- <br /> dentalreleases- 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 strin- <br /> gent requirements. <br /> This notification is for information purposes only. <br /> Driver signed—. Date _ Generator—!� enerator signed <br /> By signing the invoice the'generafor certifies that the generator has established a program to reduc-e-1he volume or quantity and tonicity of the hazardous <br /> waste to the degree,as determined by the generator,to be economically practicable, <br /> J�y 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 /> their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL / RECYCLING FACILITY <br /> 0 RIVERBANK OIL TRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD- RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD-W. SACRAMENTO, CA 95691 <br /> 209-863-8181 *EPA#CALOOO 190816 916-371-5747* EPA#CAD044003556 <br /> MPC(4r <br />