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AMERICAN VALLEY 99773 <br /> WASTE OIL, INC. Invoice Nttmber: <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;ARco AMPM invoice Dater <br /> ��AMPM <br /> RC a.MA1100 S.MAIN <br /> i 100MANTECA, CA 95337 MANTEGA CA 95337 <br /> Sans ftp: <br /> Phone Customer-P.O. Terrns. EPA# <br /> 209-82W84 JESSIE C.O.D- C,ALOnDC�1 X47 <br /> PRODUCT SHIPPING DESCRIPTION MANIFEST QUANTITY PRICE AMOUNT <br /> WASTE <br /> CODE <br /> NON-RCRA Waste.Liquid Used Oil/Mixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 <br /> ION-RCRA Waste Liquid Used 011y WaterEj-�Z� <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 /> TERMInvoices oveDays are subject to a 1.5%service charge. Gustorner agrees to pay all legal fees if court action <br /> S: r 30 TOTAL <br /> becomes necessary to collect this invoice. <br /> ess <br /> an <br /> co signing 1.PC.Bs.PI frurtherta have <br /> to accelptdthters waste with addtonal charges fore)gal disposalthat hif theawasts ssover11000hP.P.Mat0 total ha ides, or containsat the aany P.G.B'sste does ot <br /> contain any 9 <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 /> Sy both parties signing this invoice It will Serve as an agreement that American Valley Waate 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 /> be <br /> to a <br /> that <br /> to <br /> Amorioan Valley Waste Oapplicablerl to management of advises the above used oil,benerator ut that is not renerators quired tot of used oil complywith he more stringent <br /> requirements applicable t dhazardous <br /> with federal regulations <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 meat It ase requirements, engineering certifications of tank integrity, and financial assurances for closure and <br /> accidental releases.It is lawful to send d oil 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 quipv <br /> l GENERATOR/ " <br /> ,, ! �� �. AUTHORIZED <br /> DRIVER DATE: f SIGNATURE: DATE: ((J <br /> 5IGNATU9E'' <br /> O NAME: DISPOSAL RECYCLING FACILITY <br /> ADDRL SS: DK-DIXON O RAMOS ENVIRONMENTAI-SERVICE <br /> 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> CITY/ST: DIXON,CA 95620 W.SACRAMENTO, CA 95691 <br /> PHONE: 707-693-6008 916-371-5747 <br /> EPA tt CAT080012602 EPA it CAD044003556 <br /> EPA#: <br /> MPC(4=1C <br />