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"FR6M P . 043 <br /> ` -AWRICAN VALLEY Invoice Number: <br /> WASTI 01L, INC. <br /> 75980 <br /> ox r <br /> P.p. Sox 340•• Delhi, CA 95315 <br /> PH. 1-800-732-4645 1 PAX 209-668-3880 f ; <br /> EPA. CAL000827B7B <br /> Iwoice i7ate-. <br /> JOS SITE: FA'IFV'4xy Forty a <br /> 13ILL'T0= FAMWAY BODY PAM11 4.325 N tftl S7 LANUE <br /> t STOCKTCN.,CA 95205 <br /> Customer P.O. gaymen erms� <br />. Phone 4iIF f 0 <br /> �D9 E9-S2W f - <br /> t T <br /> PPING DESCRIPTiDN MANIFEST- QUANTITY <br /> •� PRkPRICE �AMOUN <br /> WAS <br /> PRODUCT 5H1 CODE <br /> ti 44 <br /> USED OIL NON ROSA HAZARDOUS 221 <br /> WASTE LIQUID <br /> USED AUTOMOTIVE ANTIFREEZE.NON <br /> RCAA HAZARDOUS WASTE LIQUID <br /> OILY WATER,NON.F1CRA HAZARDOUS . 221 <br /> WASTE. LiQUID. <br /> RECYCLED ANTIFA EZE EMIR NIA <br /> NDN HAZARDOUS WAST LIQUID <br /> TRUCK TIME N/A , <br /> GREASWEEP N/A <br /> 7'rixsijy E%tmded Life Al3#ifi f? <br /> � n <br /> F t St ¢ t W waste.that the tots)halides are less than 1000 F,P.M.:and that. <br /> ' I hereby Certify that'have rtat mixed Ihls waste with any o it this waste is ove>{ <br /> the waste does trot mr>�^a^y p C.B:S.I ftuSher agree th e=pt the additional charges for legal disposs>< 7 ` <br /> 1000 P.P.M.total halides,or container a P.0-B's. t sJ y yf {' <br /> GENERATOR AUTHORIZED <br /> SIGNATURE - g ✓�, <br /> SIGNER SIGNATURE/SIGNATURE <br /> TERMS.INVOICES OVER 30 DAYS ARE SLIGJECTTO A 1.50'6 SERVICE CHARGE.CUSTOMEPI AGREES TO PAY ALL l I=GAL FEES IF <br /> COURT ACTION BECOMES NECESS� Y TO COLLECT THIS INVOICE. <br /> required to comply with the more stringent requirements applicable to Hazardous <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may o .ring transported to i facility that is able t ddnd me�t of <br /> with federal regulataona applicable to managsmant of used oil.but that is not req <br /> waste management facilities.California facilities that handle or process used oil are required t0 meet those more stringent requirements, <br /> standards and not these more <br /> state facilities <br /> that prto s lawful foto sends Semeetd o�those m out-at-state� faatities engineering <br /> comply only8witn lederai u Integrity. financial assurances for closure and <br /> acciden <br /> sufngent requirements. . _ <br /> This notifioation is for-nf tion purposes only. ',- ✓ <br /> 4 Driver signed <br /> �• Date Generator signed __Date_Tth.h -�— <br /> s By signing the invoice the generator certifies that me generator has established a program to reduce the velums or quantity and toxicity a1 the hazer our <br /> waste Ia the degree.as determined by the gerierator,to be economically practicable. <br /> By both parties signing this Invoice it wit serve as <br /> an agreement that Amerlcart Valley will submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to a license treatment Or transfer facility. <br /> p1SP SAL/ RE Y ',LING FACILITY O RAM09 ENVIRONMENTAL SERVICES <br /> O RIVERBANK OIL TFtANSFER 1515 SOUTH RIVER ROAD-W. SACRAMI=NTO,CA 95691 <br /> 5300 CLAUS ROAD-RIVERBANK,CA_95367 916.371-5747•EPA#CAD044003556 <br /> 209-B63-8181 *EPA 8 CAL000190816 ux tlum <br /> j <br /> i <br /> i <br />