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_SCAN VALLEY <br />INASTE OIL, INC. <br />P. 0. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA. CAL000827878 <br />JOB .SITE: <br />RAC,IFIC TOWNG �C. <br />14..4 EL FINAL DR <br />STf)CKTON, CA 05205 <br />84045 <br />Invoice Number: <br />Invoice Date <br />PACIFIC; TOWING <br />-1444 EL. PiNAL. DR <br />ONE TANK IN YARD & ONE IN SHOP <br />SsOCKTCN CA 952G5 <br />1 VVK OIL4AJK AN <br />Phone <br />Customer P.O. <br />Payment Terms <br />AVAP <br />IK <br />2-00-464-011-1 <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 />22t <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />" <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />— <br />RECYCLED ANTIFREEZE <br />N/A <br />r k <br />< <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A. <br />G R EAS W EEP <br />N/A <br />rrl? t,r c, - ^;ier1 6..ife Premiss recycled ArM reezF <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 tgaf <br />r g <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 <br />TOTAL <br />1000 P.P.M. total halides, or contains. an P.C.e's. <br />''. <br />GENERATOR AUTHORIZED ' <br />DRIVER r!, <br />/SIGNATURE <br />SIGNATURE ��.�__� SIGNATURE <br />INVOICES OVER 30 DAYS ARE SUBJEOTTO A 1.5% SERVICE CHARGE. CUSTOMER AGREES TO PAY ALL LEGAL FEES IF <br />TERMS: <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 />but that is not required to comply with the more stringent requirements applicable to hazardous <br />with federal regulations applicable to management of used oil, <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 />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 />accidental releases. <br />stringent requirements. <br />This notification is for information purposes only. <br />Driver signed Date Generator signed Dale <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 ilaYardods <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 />(/' <br />O RIVERBANK OILTRANSFER Ci: RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 % 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />209-863-8181 • EPA N CAL000190816 916-371-5747 • EPA H CAD044003556 <br />neac nm <br />I", <br />