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-Fy <br /> EPA <br /> D tom <br /> 11ILLFO- JOB 61 i'E <br /> f� <br /> Phone Customer PO Payment Terms EPA# <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 221 <br /> HAZARDOUS WASTE LIQUID <br /> TRU <br /> CK TIME NIA <br /> AGREASWEEP NIA <br /> HALOGEN TEST NIA <br /> SLUDGE, NON-RCRA HAZARDOUS <br /> WASTE LIQUID NIA <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5% SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL FEES IF COURT ACTJQN BECOMES NECESSARY TO COLLECT THIS INVOICE TOTAL � S <br /> DRIVER ,f. /1 �' GENERATOR d , <br /> SIGNATUREE'� SIGNATURE <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardous 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 <br /> waste streams) to the generator that their waste has been transported to a license treatment or transfer facility <br /> DISPOSAL / RECYCLING FACILITY <br /> O RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD 1515 SOUTH RIVER ROAD <br /> RIVERBANK, CA 95367 W SACRAMENTO CA 95691 <br /> 1 CAL000190816 916-371 5747 <br /> CAD044003556 <br /> i <br /> MPC(1102) <br />