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I AMERICAN VALLEY <br /> RECYCLE WASTE OIL, INC. Invoice Number <br /> .r <br /> P O Box 340 • Deihl, CA 95315 <br /> ` PH 1-800-732-4645 • FAX 209-668-3880 <br /> I EPA CAL000827878 <br /> Invoice Date <br /> BILL TO: JOB SITE: <br /> f <br /> Phone Customer PO Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> IUSED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> N HAZARDOUS WASTE LIQUID -•` - <br /> �. <br /> TRUCK TIME N/A ' <br /> GREASWEEP N/A <br /> IHALOGEN TEST N/A <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID N/A <br /> I <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES <br /> I TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL l <br /> Y � <br /> DRIVER --r:b_ r' <br /> ,' ��� rf GENERATOR _ <br /> SIGNATURE `< ' f{��; K_ - SIGNATURE <br /> r <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous waste to the degree, as determined by the generator, to be economically practicable <br /> By both parties signing this invoice it will serve as an agreement that American Valley will submit confirmations for (certain <br /> waste streams) to the generator that their waste has been transported to a license treatment or transfer facility <br /> DISPOSAL/ RECYCLING FACILITY <br /> IO RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> I RIVERBANK, CA 95367 W SACRAMENTO, CA 95691 <br /> CAL000190816 916-371-5747 <br /> CAD044003556 <br /> MPC(1/02) <br />