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.TO: <br />Phone <br />rERICANvA,LEY goXN ASTE o► <br />{'� A t� f <br />s� a -E Y <br />Invoice Number: <br />P. 0. Box 340 ' Deh• CA 95315 <br />PH. 1-800-732-46,45 • FAX 209-668-3880 <br />EPA . CAL000827878 <br />Invoice Date: <br />JOB SITE: <br />Customer P.O. <br />PRODUCT SHIPPING DESCRIPTION WASTE <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID 221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME I N/A <br />GREASWEEP I N/A <br /><z;mQL Q0J CAI-� <br />Payment Terms I EPA# <br />MANIFEST I QJANTITY <br />I hereby certify that I have not mixed this waste with any other waste, that the total halides are less than W,; andthat <br />the waste does not contain any P.C.B.'s. I further agree to accept the additional charges for legal disposiste is over <br />1000 P.P.M. total halides, or containes any P.C.B.'s. <br />DRIVER <br />GENERATOR <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT To -A-1.5% SERVICE CHARGE. <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />T <br />PRICE I AMOUNT <br />Imo- I a 1-7 8'�—1 <br />American Valley Waste Oil hereby advises the above Generator the Generators shipment of used Oil rmrted to a f . qLL LEGq— <br />with federal regulations applicable to management of used oil, but that is not required to comply with tient requirementscihty that is required to <br />waste management facilities. California facilities that handle or process used oil are required to megtrinreq applicabluIre o cnrrp/y <br />of <br />ac identalte ties that releases. It isss used lawful o slendso meet used oil toose out-of--st to facilities that comply Onlyith federba, engineering certifications Of d etnancisnssuran es to Mal and ut <br />stringent requirements. <br />agement dards and not these <br />and <br />This notification is for information purposes only. rrtDre <br />Driver signed Date Generator signed <br />By signing the invoice the generator certifies that the generator has established a program to redur qu— a� Date <br />Byste to both phe arties degree,asstdetermined iniceit w thell serve ascor, to be an agreement thatlme American Valley wig submit cgertain y and toxicity of ry1e azay o <br />that theirwastehas been transported to a license treatment or transfer facility. waste streams) to the generator <br />DISPOSAL/ RECYCLING FACILITY <br />O RIVERBANK OIL TRANSFER O RAMOS EWvICES <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 1515 SOUTl SACRAMENTO, CA 95691 <br />209-863-8181• EPA # CAL000190816 916-371-574003556 <br />Mac(ra2m <br />