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104201.2010 16: 24 20983863 6 A L POI;,IELL TRUCK?NG PAGE 07109 <br /> Oct 051010:34a Julie Huber [�' ,u-366U P.t) <br /> AMERICAN VALLEY 93324 <br /> ' WASTIF 011., INC. Invoice Number: <br /> P. 0.Box 34C Delhi, CA 95315 <br /> PH. 1- 24? 2 L8209-668=3880 { /� <br /> ULL TO:ALL POWELL j J08 SITE;A,L POMLL Invoice Date: <br /> 23334 ARTHUR 23534 A RTHU R <br /> ESCALON,GA 95320 ESCALQN,CA 95320 <br /> 3M OfL <br /> Sales Rep; V w-0— <br /> p Customer P.C. Ter EPA[# <br /> -838-7470 HOFfY �'e 30 Sys CAL000249027 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Wass Liquid Used OiUMixed Oils i 22' <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> I� NON-RCRA Waste Liquid Used Oily Water 223 <br /> r <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty prerrixed Recycled Antifreeze <br /> Tdnity Extarded Llfe premixed Recycled Antifreeze <br /> E <br /> i; Trinity Case Goods <br /> Truck Wash Out <br /> N <br /> I! Truck Time <br /> Y <br /> 1 <br /> i <br /> TERMS: Invoicot:ower 90 Daye ara subject to a 15%service charge. Customer agrees to pay all 1a921 teas if coL r.a�Ion TOTAL 1 v 1 <br /> t becomes reoessary to oohed this invoice: <br /> aiyrling I herby certty that I have net mixed this waste wdh any other waste•that the tote[halide9 are less than 10C.0 P,RPA;and that the waste does nol <br /> contain any RC. s. I further agree to accept the ad&,cral Chari lot legal disposal it tie waste is over 1000 PPki,total ralicies,or contains any P,C.S's <br /> t <br /> Generator's Certification: @y sE ning I conity that I have a program In place to reduce the veltrrrte and toxici y of hszardaus v este genaratec to the degree <br /> ene <br /> have dcborrnined to be eceritrmbaily preCteab[a. <br /> 1 sy both parties signing this Irwoioe it witl-aerve as an agreement that American Valley Waste Oil will submit contlrmatton for(certain waste_streams)to the <br /> i gensratcr char their weata has boon transported to a licensed treatment or transfer facility. <br /> American Valley Waste Oil hereby advi6ao 1110 above Generator the Gererdtors sh[pment of usec ail may he transported to a facility that is rooUir®d 10 Con D[Y <br /> with federal regulations apP'icabia to rranagerrent of used ail,buttlat Is rot required to cornpitr w1h the more stringen;regU'lOMents appllcable to hazardous <br /> waste manegement'aail ties California!acrlltles that handle or process Lsad oii are equirad to meat those more s;rrngent requirements, and some ouf-cif- <br /> stata tacilltles 1t,at process toed.oil algia meet those rec0raments, engqlreerinc, certifications of tank intnrity, and fnanclal assurances for ClasLra ax <br /> aCeklen% releases,It is lawful to send used oil 10 out-ot•9tate factllt,es that corriO;only with federal LseC oil m�nagemerrt siandarc's and not these more <br /> stringent requineg9nte- .. .. . . . <br /> This notlficatlon Is for inf atlon Pu s nly. <br /> DR;VER GENERATOR I AUTHORIZED <br /> j SIGNATURE SIGNATURE I SIGNATURE <br /> DIS <br /> NAME:E L NG F }:. NAME: <br /> ADDRESS= <br /> K-DIXON RAMCS ENVIRCNMEN7I.1_SERVICE <br /> t 7300 CHE`JRON WAY '.516 SOU'i H FIVEq ROAD GI WST: <br /> DIXON,GA 95620 'Y4,SACRAMENTS CA 95591 PHONE <br /> 707.6;3-60U 316-371-5747.- EPA9: <br /> EPA*CAT080012802 EPA#F CAD04400.3556 <br /> r <br /> uvc ncna� <br />