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RICAN VALLEY <br />WASTE OIL, INC. <br />fA P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />2;5 <br />Invoice Number: <br />� lr vC1- 'l 4, <br />Invoice Date: <br />rN,;rylni JOB SITE: 13A�:IFIC TOV'JING <br />?:S.)ei FL pINAL i 1444 EL FINAL DR 1 a. n <br />_ _ r �tS,. ONE TANK IN YA,7{ ONE IN SHOP <br />0,C -K'. s?N, C.A 205 STOCKTt)N. CA 'X12l.yj <br />2NK ANF <br />53alrza fa=n <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# At OIX>t Ca11 h? <br />Irt R11at,t <br />iui k> f),�y <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 />343 <br />- <br />r <br />RCRA HAZARDOUS WASTE LIQUID <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />N/A <br />11J <br />" <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />-,e Premix recycled Antifreeze, <br />I hereby certify that I have not mixed this waste with any other waste, that the total halides are less than t0o0 P.P.M.; and that <br />any P.C.B: s. I further agree to accept the additional charges for legal disposal if this waste is over TOTAL <br />the waste does not contain <br />1000 P.P.M. total halides, or container any RC.B :s. <br />DRIVER GENERATOR AUTHORIZED, <br />1, `' <br />SIGNATURE SIGNATURE/ SIGNATURE <br />CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br />OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. <br />TERMS: INVOICES <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />be transported to facility that isrequired to comply <br />American valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may <br />eao hazardous <br />oil, but that is not required to comply with the more stringent requirements applicable <br />with federal regulations applicable to management of used <br />management facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br />integrity, and financial assurances for closure and <br />waste <br />state facilities that process used oil also meet those requirements, engineering certifications of tank <br />facilities that comply only with federal used oil management standards and not these more <br />accidental releases. It is lawful to send used oil to out-of-state <br />stringent requirements. <br />This notification is for information purposes only. <br />Driver signed Date Generator signed Date <br />the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hazer our <br />By signing <br />waste to the degree, as determined by the generator, to be economically practicable. <br />that American Valley will submit confirmations for (certain waste streams) to the generator <br />By both parties signing this invoice it will serve as an agreement <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />O RIVERBANK OILTRANSFER V RAMOS ENVIRONMENTAL SERVICES <br />i 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 <br />011 r.a71-5747 • EPA # CAD044003556 <br />209-863-8181 • trA 4 CALuue 90816 - -- - MPC p0/201 <br />