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BILL'TO: <br />i ?hone <br />wu-uvu-,•.x:u <br />A-NIERICAN VALLEY <br />WASTE OIL, INC. <br />P.- <br />5121 <br />Invoice Number <br />P. O. Box 34C - De'h i, CA 95315 <br />PH. 1-800-732.464= a FAX 209-668.3880 <br />EPA CAL000827878 <br />Invoice Date <br />t <br />JOB SITE: c-.,�i',�'lor o c <br />zxs- nz_' <br />Customer P.O. <br />WASTE <br />PRCDLICT SHIPPING DESCRIPTION CODE <br />I,SED OIL NON RCRA HAZP RDOUS <br />221 <br />WASTE LIQUID <br />U3EE AUTOMOTIVE ANTIFREEZE, NON <br />R:. RA HAZARDOUS 1^JAST= LiOUID ::� <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />221 <br />WASTE LIQUID <br />TRINITYPREMIX <br />NIA <br />ANi IDFREEZE <br />NON HAZARDOUS WASTE L,QUID <br />_ <br />, TR CK TIME <br />r <br />i GREAS%%EEP <br />N!A <br />Payment Terris <br />MANIFEST <br />EPA# <br />QUANTITY ` PRICE ! Am6UNT <br />` <br />that t have not m 1 us waste tri ns o:h9r was:B, t1at.:he ;atal haiiCes are less tl an ti000 P.p.h1.; and trat <br />l ltoreby cattily +t'te additional cstarges for <br />,zgat d:spcsas it this NaStg is over TOTAL <br />the waste boes not cccta n any P.C.B'6. I fu^Yte apse to accep. , <br />SUJO P.F,th. tater halides, or contairos any P•C.ta:s. GENERATOR AUTHORIZEB� i <br />DRIVER SIGNATURE SIGNATUR r <br />SkGNATURE <br />TERMS: INV ESQ ER 30 DAYS ARE SUBJECT O YIitS 1 V01C E CHARGE CUSTOMER RE°S TO PAY ALL LEGAL FEE5 iF <br />COURT ACTIO14 BECOMES NECESSARY Ta COLLECT�rted to a fariitty ft- is roquired to comF <br />�voil me more stringent !equlremerds apoli:able t0 ftatarda <br />A-enczn VaitSy"las+e pit heresy BdvsseS the above G9nera',.C.' the Ge. Brators shlpms;nt of used oil may be nsp. <br />4t.r, federal regulat ons app4'cable to manavement of used oil, but that is rbt •gauired to Cortzl} <br />P( closu <br />:ate management 130 l its• uirernents, and SOME) 0'1-t <br />Cs4ito natsoJmret t thOst's 'e5`� �B((t3 tnIs a giiewring oerbf4fcatiorsof r�k �rrt�rna agv-tents as�1ds art nor hgseemc <br />j 9:ete ,fanl ties that process Lea <br />acz;der-tai ralaasex. it sciawiu to send used cdl .0 oui of stet8 fae�Cfues that cot son , <br />y stringent requiren erim / <br />71 <br />es on.y i Rat <br />This mdticdt,�ZKIZ;;t�AM-Vurato' <br />for' o;�gralOr Sigfea r <br />rJrsaar signed` "_.tea <br />ri s'r'si nn tfles fiat the generator has Beta r yd a prograrzrta reCUce the v='lurne or quantity and toxi:ity of the rain r: <br />i ,paste to th9 Cegree, as detamined by the gaper I . t0 r e rmonct,"nbaliy rIC-an Valle <br />l p•, both parties signing :his in•:o�oe�w� a �A se traatmantrof� tranete : acs i y� Valley wi8 sub'nit �nftrmatians for (�srble-tain waste srezmsi to tt•e g- <br />tha: iL to r waste nas been trarow ING EAGUTY <br />D1 Pt�SAt�j REC Q RAPACSENVIROF.IvtENT,0.tSEMIGES <br />IVERBANK OIL TfLkNSFFER 1515 SGL1H 91l ER ROAD •'�i. SACRANISN'C. CA ;6E91 <br />530'J CLAUS RQAQ • RIVERBANK CA 9536 9t 6.g'}.5747 •EPA t! CAD <br />C34�0355a <br />1 / 2n9-EE3$181 • EPAa CALCOC190sic ` <br />