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*REC(�CLE WASTE OIL, INC. <br /> 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 /> rnr�*p{{-,arm E p-a 4 'L+r rin!A <br /> 7L1 l r!✓Z1.4 L-.0 <br /> bHAW FSU L,KCAL ruti)li STORE <br /> 21D510 MON'TE DIABT,G <br /> -+m'�'--VT'211 ^n1 <br /> a - <br /> Phone Customer P O Payment Terms EPA# <br /> / Net 30 Days CAL00146(5332 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> tCODE <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID 1 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 <br /> OILY WATER, NON RCRA HAZARDOUS <br /> WASTE LIQUID 2L'1 <br /> ' N HAZARDOUS WASTE LIQUID l900 ` + <br /> TRUCK TIME NIA <br /> GREASWEEP NIA <br /> ' HALOGEN TEST b NIA <br /> SLUDGE, NON-RCRA HAZAP1Q"j$t., <br /> WASTE LIQUID NIA <br /> 1 ¢ <br /> TERMS INVOICES OVER 30 DAYS ARE SUBJECT TO A 1 5%SERVICE CHARGE CUSTOMER AGREES <br /> TO PAY ALL LEGAL EES IF COU ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE TAIL 01600 <br /> tDRIVER GENERATOR <br /> SIGNATURE SIGNATURE f ' <br /> ' By signing the invoice the generator certiflesthat the generator has established a program to reduce the volume or quantity <br /> and toxicity of the hazardbrus 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 sabmtt 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 /> CAL000190816 916-371-5747 <br /> CAD044003556 <br /> MPC(1102 <br />