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'PACIFIC TOWING <br />1444 E=L PiNAL. LAR <br />STF�CKT( N. CA 95205 <br />,N <br />,,ASTE OIL, <br />ALLEY ft <br />INC. <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA.CAL000827878 <br />'3 v <br />Invoice Number: <br />Invoice Date: <br />JOB SITE: PACIFIC TOWING <br />1,144. EL PINAL. DIR <br />ONE. TANK IN YARD ?. ONE IN :SHOP <br />STOCKTON, CA 95205 <br />1 WK OIL. ':A k: AN <br />Sales Rra: <br />Phone <br />),-•° het KE <br />Customer P.O. <br />Payment Terms <br />Net 30 Days <br />EPA# <br />C:A!_0002Q:;157 <br />,,'!-Cx.?16 <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 />T_ .�3 ,a,�j�q ;_.. 1 <br />t�( <br />Y I . <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 />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />Trnity Ue3ftded Life Premix recycled Antifreeze <br />- <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 />the 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 />waste <br />1000 P.P.M. total halidesT or container am P.C.B's. - <br />DRIVER GENERATOR/ AUTHORIZED, <br />SIGNATURE e! SIGNATURE SIGNATURE <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS 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 />to of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous <br />with federal regulations applicable management <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 />tank integrity, and financial assurances for clgsure and <br />state facilities that process used oil also meet those requirements, engineering certifications of <br />to facilities that comply only with federal used oil management standards and not these more <br />accidental releases. It is lawful to send used oil out-ot-state <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 />it serve as an agreement that American Valley will submit confirmations for (certain waste streams) to the generator <br />By both parties signing this invoice will <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />S ENVIRONMENTAL SERVICES <br />RAL <br />O RIVERBANK OILTRANSFER .-'� 1515 <br />1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 <br />916-371-5747 • EPA # CAD044003556 <br />209-863-8181 EPA # CAL000190816 <br />MPC (1 <br />1 <br />0120 <br />