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R.Phillips Trucking,Ilc 209-948-0840 p.6 <br /> AMERICAN VALLEY J 8 1 8 8 <br /> WASTE OIL, INC, Invoice Number: <br /> P. O.Box 340 • Delhi, CA 95315 <br /> PH. 1-800-732-4645 0 FAX 209-568-3880 <br /> CAL000827876 J , � <br /> BILL TO:ROBERT PHILLIPS TRK JOB SITE:ROBERT PHILLIPS TRK Invoice Date: <br /> 10564 E.ADA 10564 E ADA <br /> STOCKTON,CA 96215 STOCKTON CA 95215 <br /> X RD:TULSA <br /> Soles Pap:Felix Co P) <br /> Pho a Customer P.O. Terms EPA# <br /> 2 9-948-1788 Net 30 Days CAL000266i677 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 (;j 11-02-4")f-(t 6)0 A)I( <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 223 -or-:rl;=1VEL) <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Duty premixed Antifreeze FEB 1 <br /> Trinity Extended Life premixed Antifreeze <br /> N� ONMEN AL HEAL <br /> Trinity Case Goods DE AENT <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: Invoices over 30 Days are sub;ect to a 1.5%service charge. Customer agrees to pay al!legal fees it court action TOTAL <br /> becomes necessary to collect this invcice. /tom L <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 100D P.P.M.total halides, or contains any P.C.6'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 irvoice 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 /> ,with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable:o 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 lank 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 /> DRIVERr AUTHORJZED <br /> SIGNATURE: DAT E: J I� SIGNr�T / ./ = ,- DATE: <br /> 4 <br /> O DLkME: DISPOSAL / RECYCLING FACILITY <br /> ADDRESS: 9--DK-DIXON O RAMOS ENVIRONMENTAL SERVICE <br /> CITYOST: 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> DIXON,CA 95620 W.SACRAMENTO,CA 95691 <br /> PAoNE: 707-693-6008 <br /> 916-371-5747 <br /> EPAk: <br /> EPA N CAT060012602 EPA#CAD044003556 <br /> MPC(4i2710) <br />