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.L TO. PPCIFIC TOWING <br />1444 EL PINAL DR <br />STOCKTON, 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 />333? <br />Invoice Number: <br />Invoice Date: <br />JOB SITE: PACIFIC TOWING <br />1444 EL PINAL DR <br />ONE TANK IN YARD K ONE IN SHOP <br />STOCKTON, CA 95205 <br />1 WK OIL 3WK AN <br />Salsa W: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />209-4£4-0016 MIKE <br />° . <br />INet' Days <br />CAL.D00203157 <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 />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />NSA <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />Trinity Extended Life Premix recycled Antifreez <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 y _ <br />the waste does not contain an .C.6,I I further agree to accept the additional charges for legal disposal if this waste is over �^�A c� <br />' P.C.B.'s. Ii <br />1000 P.P.M. total halides,- cot s an _ <br />-" GENERATOR AUTHORIZED �' / <br />� <br />E G✓ SIGNATURE/ SIGNATURE <br />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 />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 />facilities that handle or used oil are required to meet those more stringent requirements, and some out-of- <br />waste management facilities. California process <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 RAMOS ENVIRONMENTAL SERVICES <br />O RIVERBANK OIL TRANSFER <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />209-863-81 B1 • EPA 4 CAL000190816 916-371-5747 • EPA # CAD044003556 <br />P2K <br />