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AMERICAN VALLEY 79733 <br />WASTE OIL, INC. Invoice Number: <br />P. O. Box 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA, CAL000827878 <br />Invoice Date: <br />BILL TO: JOB SITE: <br />PACIFIC TOWING PACIFIC TOWING <br />1444 EL PINAL DR9 1444 EL PINAL DR <br />ONE TANK IN YARD & ONE IN SHOP <br />STOCKTON, CA 95205 STOCKTON, CA 95205 <br />1 WK OIL 3V`JKAN <br />Phone <br />Customer P.O. <br />Payment Terms <br />d ' <br />209-464-0016 MIKE <br />Net 30 Days <br />CAL000203157 <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 />1S i` <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />J <br />)o <br />I `)` <br />RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />TI vF Ar1. <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 a y. P.Q.B.'s...urt�r agree to accept the additional charges for legal disposal if this waste is over TOTAL I Q <br />1000 P.P.M. total halid r conta' es'any P.C.B's. <br />DRIVER < ----. GENERATOR/ AUTHORIZED <br />/SIGNATURE ` <br />SIGNATURE' SIGNATURE <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTOMER AGREES TO P Y 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 />federal regulations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous <br />with <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 />engineering certifications of tank integrity, and financial assurances for closure and <br />state facilities that process used oil also meet those requirements, <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 signedDate _ 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 />this invoice it will serve as an agreement that American Valley will submit confirmations for (certain waste streams) to the generator <br />By both parties signing <br />that their waste has been transported to a license treatment or transfer facility. <br />DISPOSAL/ RECYCLING FACILITY <br />O RIVERBANK OIL TRANSFER RAMOS ENVIRONMENTAL SERVICES <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 / 1515 SOUTH RIVER ROAD • W. SACRAMENTO, CA 95691 <br />209-863-8181 • EPA # CAL000190816 916-371-5747 • EPA If CAD044003556 <br />MPC 110 <br />200 <br />