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Jul 14Ju1, 16, 2010 6; 55AMber Golden State Irrigation 209-ri66-3800 No. 0351 <br /> AMERICAN VALLEY 84256 <br /> _WASTE OIL, IK. ., Invoice Numbe <br /> P. O, Box 340 • Delhi, CA 953-16 <br /> PH. 1-600-732-4645 • FAX 209-668-3860 <br /> EPA. CAL000827876 <br /> Invoi`cee Date: <br /> BILL TO: JOB SITZ �Q ^� , -- y <br /> Phone Customer P.O. Payment Terms EPA* <br /> > J 7 7 Nr,(-, 01,: L 000 f I� <br /> -PRODUCT SHIPPIN DESCRIPTION - - WASTE• MANIFEST QUANTITY . PRICE AMOUN <br /> CODE ' <br /> USED OIL NON RCRA HAZARDOUS . . . .,.; <br /> WASTE LIQUID :221 0 T 6� �1 (C <br /> USED AUTOMOTIVE ANTIFREEZE, NON. ." <br /> RCRA-HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER,NON RCRA HAZARDOUSWAS22i <br /> TRINITY HEAVY DUTY PREMIX .A <br /> RECYCLED ANTIFREEZE <br /> NON HAZARDOUS WASTE LIQUID <br /> TRUCKTIME N/A <br /> GREASWEEP -WA, <br /> 1 hereby tartly that I have not mised this waste with any other waste,that the total halides are less than 1000 P.P.M.;and that <br /> the waste does not contain any RC-8-'s- I further agrea la accept the additional charges for legal disposal it this waste Is cver TOTAL G <br /> low P.P.M.total halld or cornalnes an P.C.6Je- ' <br /> DRIVER GENERATOR AUTHORIZED <br /> SIGNATURE== SIGNATLIREI SIGNATURE <br /> TERMS:INVOI S OV 6 3 DAYS qRE SUBJECTTO A 1;5%SERVICE.CHARGE.GUSTO AGREES 70 PAY ALL LEGAL FEES <br /> COURTACTiQ BECOMES NECESSARY TO COLLECT THIS INVOICE. <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be vansporled to a facility Ilial is required[o co: <br /> Y110 federal regulations applicable to management of used oil,bu1'lhat is not required to comply with the more stringent requiremenls applicable to hazer, <br /> waste management f9altllles.California facaillas that handle of process used oil are required to meet those more stringent-equlfemsns, and soma oi <br /> stale fadglges that process used oll also meet those.requirements, engineering cedllballons of tank integrity, and financial assurances for closure <br /> sooldontet releasee: It Is lawful to send used oil to out-ef•etate laorilties that comply only with federal used oli management standards and not;hese r <br /> Stringent[aqui ts. <br /> This noglicatiAegrea, <br /> I matt purposes only.. to -& <br /> Dr" signed <br /> dale'L - d Generator signed <br /> By signing the eneralor certifies that the generator has established a program t r oe the volume or quant y end tcx city of the bazar <br /> waste to theas determined by the generator,to be saonolnbeay practicable. _ aeons for(certain waste streams lc the a�nr <br /> ey bath papfes slgnIng this Invoice ft will serve as an agreementahsttinerlcan.VCYrQh✓Gdyllt 7Sd <br /> that their waste has been transported to a license treatment or transfer Iaclllty. g� <br /> p POS U RECYCL1N •FAC11-1 .2 '� � � �r <br /> O RIVERBANKOILTRANSPHR' 0 40 <br /> RAMOSENVIRONMENTALSERVICES <br /> t516 SOUTH RIVER ROAD•W.SACRAMENTO,CA 95691' <br /> 5300 CLAUS ROAD• RIVERBANK,CA 95367 <br /> 209.693-81St •EPA 9 CAL000190816. 916.371.5747• EPA N CAD044003556 <br />