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AMERICAN VALLEY 116599 <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 /> ' CAL000827878 <br /> BILL TO: JOB SITE: Invoice Date: <br /> TUFF BOY TRAILERS TUFF BOY TRAILERS <br /> 5151 ALMONDWOOD 5151 E.ALMONDWOOD <br /> MANTECA,CA 95337 MANTECA, CA 95337 <br /> 6M OIL <br /> Sales - <br /> 'Phone Customer P.O. Terms EPA# <br /> 2009-239-1361 JOSH Net 10 Days CALOOW35904 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 1 <br /> q c�b�32 -1`� PC t)�:J <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. <br /> By signing I herby certify that I have not mixed this waste with any other waste,that the total halides are less than 1000 RRM;and that the waste does not <br /> contain any RC.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 RRM.total halides,or contains any P.C.B's <br /> Generator's Certification: By signing I certify that I have a program in place to reduce the volume and toxicity of hazardous waste generated to the degree I <br /> have determined to be economically practicable. <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain waste streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> uyith federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous <br /> Araste 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 used oil to out-of-state facilities that comply only with federal used oil management standards and not these more <br /> stringent requirements. <br /> This notification is for information purposes only. r <br /> r GENERATOR/ i `J <br /> DRIVER AUTHORIZED <br /> SIGNATURE: DATE` SIGNATURE: DATE: <br /> O "AME: <br /> DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: PDK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> 7300 CHEVRON WAY <br /> CITY/ST: 1515 SOUTH RIVER ROAD <br /> rt DIXON, CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 <br /> 916-371-5747 <br /> EPA#: EPA#CAT080012602 EPA#CAD044003556 <br /> MPC(4/2010) <br />