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BILL TO: PACIFIC TOWING <br />1444 EL PINAL DR <br />>*TOCKTON, CA 95205 <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />39.43 <br />Invoice Number: <br />Invoice Date: <br />JOB SITE: PAC IF!C TOWING <br />1444 EL PINAL DR <br />ONE TANK IN YARD & ONF_ IN SHOP <br />STOCKTON, CA 95205 <br />2WK ANF <br />Saes Rep: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPAy <br />>_C19 -464-M16 MIKE <br />Net 30 Days <br />AI 11({) (1315! <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />t�J <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIXn <br />w `f r� � <br />4 <br />t <br />I t't <br />I 19U. <br />P� <br />RECYCLED ANTIFREEZE <br />N/A <br />1 <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />Trinity 1F)r1oncif"d Life Premix recycles! Antifreez <br />I hereby 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 <br />t,n 1) <br />the waste does not contain any P.C.B's. I further agree to accept the additional charges for legal disposal if this waste is over TOTAL <br />�0/ <br />P.P.M.1000 total halides ccontaines-any P.C.B.'s <br />DRIVER � � %J GENERATOR/AUTHORIZED �rY)C f� <br />�_-__. <br />SIGNATURE SIGNATURE SIGNATURE r <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER ACMEES TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARYTO COLLECTTHIS INVOICE. <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 to 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 tank 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 />Driver signed Date Generator signed Date <br />By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazardous <br />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 waste streams) to the generator <br />that their waste has been transported to a license. treatment Or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />O DK-DIXON O RAMOS ENVIRONMENTAL SERVICES <br />7300 CHEVRON WAY • DIXON, CA 95620 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />800-72~P-2879 • EPA # CATOB0012602 916-371-5747 • EPA # CAD044003556 <br />MPC l01/200! <br />