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AMERICAN GALLEY 104,1121 <br /> WASTE' OIL, ING. 1.nvoiee NunA8er, <br /> P.O.-Box 346 De-hi, CA 8531'5' <br /> PH, 1.-800-732-46.45 • FAX 20-668-38,30 <br /> g <br /> CAL000827878, p, <br /> UILLTO FOOTHILL-ENGINEERING' . <br /> jot L"VOGUECLEANERS dice Pate: <br /> 127 .3 PADDY CRI5EKt=N '2315N.,OA€1 RNIA. <br /> 1:13 31 STOCKTC)N;.CA.95206 <br /> :Safes. is <br /> Te ms EPA#f <br /> #� Customer P.CO. � C:0_01 . GAL-00020 47, <br /> Pik'OOUCT SHIPP'ING'DESOEkIPTION WASTEPAANIrEST QUANTITY PRICE .AMOUNT <br /> CODE �. <br /> NON-RORAMaste L,,Auld Used.Oil/Mixed Oils 221 <br /> NC)N-I�Oi A Wasta; Liquid Usea,Antifreeze 133 <br /> NON-PCRA Waste Liquid Used,Oily Water 223 . 7 <br /> NON 1 azardous Waste'Liquid <br /> -::m ....... _.- <br /> 'Tftity Heavy Duty premixed Antifreeze <br /> i <br /> P <br /> Trin,ityExtende,d Life prerriix-M Antifreeze <br /> Trinity Case Goods <br /> TrLick Wish.06t <br /> Truck Time <br /> TER3V& tnvolces over 30 Days are subject to a 1.66/6 service charge. Cum <br /> stoer agrees to pay alt jogai.fees if court action: TOTAL <br /> becomes necessary.to collect this:invoice. E ! l t+ f <br /> By s"s wing I her bby�certify that I have ntat'mixed:this waste with any other waste,that the total halides are less than 1000 P.RK and tha'the waste does rcpt <br /> contain any PC.i#'s. I further agree to accept the additional charrges:for legal disposal'31 the waste.ts_overiCO P PM:totat halides,or contains any P..C.B`s <br /> Generator's Gertificatlow By signing I certify that I Have a program in place to reduce the volume and toxicity of hazardous wasie'generated to the degree I <br /> have determined to be economically practicable. <br /> By both parties sign(no this:invoice it will serve as an agreement that Amer:'ican Valley Waste Oil will submit donfifmatior.?or(certain waste streams)to the <br /> generator that their+waste has been transported to a licensed treaiment or.transfei facility. <br /> American Dalley}Haste Oil hereby advises the above Generator the'Generators shipment of used-oil maybe iransported to,;a faef�ty that is required tti}comA.' <br /> with federal regulations applicabie.tb management-of Used oil,butthat isnot requirod to Comply with the more.stringentrequirements applicable to,hazardou's <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 <br /> accidental releases.It Is lawful to Send user)oil to oast 0€-State#acllitie5 that Comply only with federal used oil management standards al-C not ih65e more <br /> stringent requirements <br /> This notification is fcr information purposes only. <br /> GENERATOR' .. <br /> ORIVER, AUTHORIZED / ,I <br /> SIGNAT UFi /DATE: // SIGNATtJ.E: DATE: <br /> a NAME: <br /> DISPOSAL A RECYCLING .FACILITY <br /> ADDRESS: 0 DK-DIXON � QRAIViC5 ENVIRONMENTAL iTAL SERVICE <br /> OTY15ST- 7307 CHEVRON WAY 1515.SOUTH RIVER ROAD <br /> DIXbN, GA 95620 W.SACRAMENTO. CA 95691 <br /> PHONY: 70716393-6008 <br /> 918-371-5747 <br /> t=PAit; EPA#CAT080{312602 EPA GAD044003556 <br /> i1PC(4f201G} <br />