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e <br /> AMERICAN VALLEY 96259 <br /> ;WASTE OIL, INC . Invoice Number. 1133 <br /> P O Box 340 Delhi CA 95315 <br /> PH . 1 -800-732y4645 • ,FAX 209.668-3880 If <br /> CAL000827878 <br /> a, <br /> Id <br /> If <br /> , ..,, <br /> CiF�U — <br /> BILL TO : JIM THORPE OILING JOB SITE : AqG 61LLIN REALEwATE Invoice Date: <br /> P.O. BOX 3671 <br /> r . 2154 S. EL DQRADO ST, <br /> LODI, CA 96241 STQCICTQN, CA 196203 <br /> GAC002f:17568 <br /> 10 G <br /> Is � Salas . t'Zap : SfeVB <br /> Ph C stomer-P.. Terms EPA# <br /> _40-462-4581 NelbgW Dayg", i? <br /> PRODUCT SHIPPING DESCRIPTION Ifill I oMANIFEST QUANTITY PRICE_ AMOUNT <br /> WASTE <br /> I . CODE <br /> NON- RCRA Waste Liquid Used Oil/Mixed Oils 221JL <br /> NON -R RA ` <br /> C Waste Ani <br /> LI uid U ed Antifreeze reeze ' ' 133 <br /> I - <br /> 9 <br /> i <br /> NON -RCRA Waste Liquid Used Oily Water 223 y / <br /> / ()Qo <br /> NON Hazardous Waste Liquid ' I /7 I � S _ ►rj5 , r� <br /> I / \ <br /> L <br /> Trinity Heavy Duty premixed AntifreezeAl <br /> S ( 9 - �• ,, <br /> 9a <br /> Trinity Extended Life premixed Antifreeze ; <br /> 7 �/OUED l /Za /Yl — <br /> ! ' ".Trfhlty Case Goods <br /> If JL <br /> Truck Wash Out <br /> rrr <br /> Truck Time <br /> �iJhN h£ <br /> TERMS: Invoices over 30 Days are subject to a 1 .5% service charge:.. customer agrees s to pay 511 legal fees if court action TOTAL <br /> becomes necessary to collect this invoice. - rc% - c 'L <br /> By signing I herby .certify that 1 , have not mixed this waste with any other waste that the total halides are less than 1000 PP. M and that the waste does not <br /> contain any PC. B's. I further agree to acceptthe addltlonal charges'for legal disposal if the waste -is over 1000 PPM total halides or contains any P.0 BS `"' <br /> Generators Certification By signing I certify that i Clave aerogram in place to reduce the volume and toxicity of hazardous waste generated to the' degree I ' <br /> have .determined to'be economically practicable , ' <br /> I I <br /> By both parties sig r ing this Invoice it will, serve as an agreement that American Valley Waste Oilwillsubmit conflrmatlon. for (certain waste streams) to the <br /> generator that their--waste has been transported to a Iloensad treatment or transfer facility , <br /> American Valley Waste Oil hereby advises the',above Geneirator tho Generators shipment of used:oil maybe 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 /> ani waste management faclliges. California facilities that handle or process usii it are required to,meet those more stringent4reg6irementsp and some out of <br /> stater-facilities thatrprocess used oil also meet those requirements„engineering certifications of tank integrity,. and financial assurances for closure and <br /> accidental releases: ),t, fs-lawf s®dioll toout-of=state facilities-that gomply. only with federal used. oil management st , <br /> andardsa_nd not these.4more <br /> stnn�gel?t requiUements �'� - <br /> ¢iN This notification 1s for Information .purposes only. - <br /> 01%i vi J <br /> „r.. . , 'rillil _ GENERATOR/ - <br /> �yzy^ (:. - �. _ yry AUTHORIZED J , <br /> S GITNATURE DATE I o �1 Cl SIGNATURE: f ' ,SATE — <br /> � <br /> O NAMe DISPOSAL / RE CL NG FACILITY <br /> ADDRESS: O DK DIXON O RAM OS NVIRONMENTAL SERVICE <br /> CIlyi - 7300 CHEVRON WAY 1515 SOUTH RIVER ROAD <br /> i3r DIXON ; CA 95620 W. SACRAMENTO, CA 95691 <br /> PHONE;. 707 693-6008 - <br /> 916-371 -5747 <br /> .} <br /> <. EPAa:.' EPA 9 CAT080012602 EPA ft CAD044003556 <br /> MPC (412010) <br />