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Apr 11 12 07:03p R. PHILLIPS TRI ' <ING,LLC 2`-948-0840 p.3 <br /> AMERICAN VALLEY _ <br /> WASTE OIL, INC. Invoice Number: <br /> P. 0. Box 340 - Delhi, CA 95315 <br /> R1H. 1-800-732-4645 - FAX 209-668-3880 <br /> CA L000827878 <br /> BILL TO: L,BE T PHI IPS ,, JOB SITE:4,� ERT PHILLIPS TRK Invoice Date: <br /> 10564 E.ADA 10561 E ADA <br /> S T CCKTGN,CA 9521,6 S T CCKTON CA X295 <br /> X RD:TULSA r <br /> Phone Customer P.O. Terms EPA# <br /> 209-948-9783 i*�, 30 anis CALOCM5A877 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils I 221 .1.r t ?[, _'-` ;r((, C� 6`i� �"°.✓ <br /> NON-RCRA Waste Liquid Used Antifreeze ! 133 <br /> i <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 l <br /> i <br /> i <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 ,t J <br /> becomes necessary to collect this invoice. I <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 P.P.M;and that the waste does not <br /> contain any P.C.B's. I further agree to accept the additional charges for legal disposal if the waste is over 1000 PP.M.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 thal 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 /> 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 <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. <br /> GENERATOR/ ' <br /> DRIVER :� '? AUTHOR ED ! ✓ ," ' ,:' -.'/. _ . <br /> !•f DATE: ' SIGN <br /> DATE <br /> SIGNATURE: , (. <br /> 77 <br /> O NAtdE: DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: E)--DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> CITY/ST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON, CA 95620 W.SACRAMENTO,CA 95691 <br /> PHONE: 707-693-6008 916-371-5747 <br /> EPA#CATD80012602 EPA#CAD044003556 <br /> EPA#: <br /> MPC(4;2010) <br />