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2-13-286 4:33PM FROr' <br />,Jan 06 06 03;22p Julie Huber <br />209.8_ j880 <br />AMERICAN VALLEY <br />WASTE Q1Lj INC. <br />P. 0, BOX 340 • Delhi, CA 95315 <br />PH. 1-800-732-4645 • FAX 209-668-3880 <br />EPA. CALCOG827878 <br />BILL'T'O: JOB SITE. <br />LADOS. RARINA IJDS T4 LtiiNA <br />4511 W, MARCH DN 4911 W. MARCIA LN.' <br />STOCKTON, CA 95219 STOCi TaN, CA 55219 <br />PA <br />59345 <br />Invoice Numbov <br />IQ j / s D]5 <br />hvoice Date: <br />Phone <br />C.Istolrner 7.0- Payment Toms <br />EPA9 <br />d <br />PROCUCT SHIPPING DESCRIPTION WASTE MANIFEST QJAN717Y <br />PR(CE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID 221 <br />USED AUTOMOTIVE ANTIFREEZE, NDN <br />RCRA HAZAROQUS WASTE LIQUID I 343 <br />OILY WA:, -ER, NON RCRA HAZARDOUS <br />WASTE L 11) _ 221 <br />TRINITY HEAVY DUTY PREMIX <br />! <br />RECYCLED ANTIFREEZE <br />NIA <br />NON HAZARDOUS WASTE LIQUID <br />Y <br />TRUCK TIME <br />NIA <br />G.FEASW=-EP <br />NIA <br />I herony cortify that r have not mixed th s . ste with any other waste, that :ha total hatidos are less than 1000 P.P.M.; amid that <br />the wdS;e does rot GCntain any RO.B's. I lurtnW atireee to accapt the addit oret charges for saga' disposal if this waste is ever <br />1000 P. P.M. total -asides, or coriainos anyP.C,B.'s. TOTAL <br />DRIVER GENERATOR/ AUTHORIZED <br />SIGNATURE SIGNATURE/ SIGNATURE <br />TERMS: lNVOiCES VE. 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE_ CUSTpt�AEP AG ESTE} PAY A EGAL FE58 IF, <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE, <br />American Valley Waste Oil nereby advises the above (3enar3lor tha Generators shipment of used Oil may be trar.spcnad to a 181dilty that i5 required to comply <br />wild loderal rygwattons spplicable to manai;lemem of used cL but Ir1at isnot requi,ed to comply with We more stringent rEQutrements appiimble to hazardous <br />wasto rnaragomont taeilltlas. California faelticos mit hsndlo or prooUSS used oil are required tc Meet thou mare stringent requirements, and sorne out•ot- <br />stAte Iaailitle5 that p`ocesy used oil also meat thnise requirements, enoinoring ,eRi;iCEion5 of tank integrity, and financial assurances for Closure and <br />accidanlni releasers. t. is lawful >o send useC oil to alt of snare lac!Mas that campy only with tcdera! used oil management standwc!s and not these more <br />stringent requirements r. <br />This nowtabor is ter Int rt+uttlon p acs only. <br />Driver signed. beta enwator signed <br />edu <br />3y signing the i ice the ga r certifies that,the onerater has wi shad a program to oo tr, t me or quo ty and toxicity of the hazardous <br />waste, tc the degree, Fre d:tormined by the generatcr, to be sconomical'y practicable. <br />By bath part as signing this Involea it will aerve a5 an agr99mOnt that A.rariw.. Valley will submit Confirmations for (ca sin waste streams) 14 the generator <br />TAI their waste has been tranSported to a license treatment of transfer tac lly. <br />DISPOSALI RECYCLING EAC(LIiY <br />PIVIERDANK 0.L TRAIVSFI=R Q RAh40S 8gVrR0rq A8NTAL SERVICES <br />5300 CLAUS P,4A' RIVERBANK CA P53e7 IS' S SOUTy RIVER ROAD - W SACRAMENTO, CA 95%1 <br />209-863-8161 • EPA k CAL000190816 91.8.371.5747 • EPA P CAD0440MSE <br />.Ilk' WM4) <br />