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Nov 251610;12a American Valk rite Oil 20: ,8-3880 P.10 <br /> AAmpicAN VALLEY -114 4 793 <br /> WASTE OIL, INC. In Oke Number: <br /> P.O.Bax 340 • Delhi, CA 95315 <br /> PH.1-800-732-4645 • FAX 209-668-3880 <br /> CAL000827878 <br /> BILL TO- <br /> 'MORGAN AUTO REPAIR JOB SITE:MORGAN AUTO REPAIR bvol a Date: <br /> 4171 INDUSTRIAL WAY 7710 MURRAY DR <br /> TRACY.CA 95304 STOCKTON,CA 95205 <br /> 1M OIL <br /> sates :MIKE <br /> Ph289-83"09 BILL Customer P.O. TerQ 30 Da EPA# <br /> IIVV Days CALOOD3 2101 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OiVMixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> NON Hazardous Waste Liquid <br /> Trinity Heavy Dirty premixed Antifreeze <br /> Trinity Extended Life premixed Antifreeze <br /> Trinity Case Goods <br /> Truck Wash Out <br /> Truck Time <br /> TERMS: =Over 30 Days are subject to a 1.5%service charge. Customer agrees to pay all legal fees O court anion O _ <br /> becomes necessary to conect this invoice. <br /> 6y signing I herby certify that I have not mixed this waste with any other waste,that the total halides are lass than 1000 P.P.M;and that lh o waste does not <br /> coria n <br /> any P.C.B's. 1 further agree to accept the additional charges for legal disposal if the waste is over 1000 P.P.M.total halides,or cont ins any P.C.a's <br /> Generator's Certification: fiy signing I carry that I have a program in place to reduce the volume and toxicity of hazardous waste generate d tc the de <br /> have determined to be economically practicable, gree I <br /> By both parties signing this invoice it will serve as an agreement that American Valley Waste Oil will submit confirmation for(certain wast streams)to the <br /> generator that their waste has been transported to a licensed treatment or transfer facility. <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil maybe transported to a fa i that is r quired to comply <br /> with federal regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements appli le to hazardous <br /> waste management facilflim California facilities that handle or process used oil are required to meet those more stringent requirements, d some out-ol- <br /> state facilities that process used oil also meet those requirements,engineering certifications of tank integrity, and financial ass ms for closure and <br /> accidental releases.It is lawful to send used oil to outof-s We facilities that comply only with federal used oil management standards en not these more <br /> stringent requirements. <br /> This notification is for inbrmation purposes only. <br /> DRIVER GENERATOR/ <br /> SIGNATUR� DATE: /3 SIGNDARfUR` —�-- DA :y 3//3 <br /> O NAME: DI _/ RECYCLING FACILITY <br /> ADDRESS: -- <br /> DX-DIXON O RAMOS ENVIRON LSERVICE <br /> cllvrsr: 7300 CHEVRON WAY 1515 SOUTH RIVEO ROAD <br /> PHONE DIXON,CA 95620 W.SACRAMENTO,PA 954591 <br /> 707-693-6008 916371-5747 <br /> EPA . EPA E CAT080o12602 EPA tt CAD 6 <br /> MPC(N.at01 <br />