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FROM .JIM THORPE OIL FAX NO. :1 209 368 1851 <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. 0. Box 340 * Delhi, CA 95315 <br />1-800-732-4645 - FAX 209-668-3880 <br />EPA. CAL000827878 <br />-BILL TO: <br />10B SITE: <br />axas *6 <br />08 2005 11:10RM P1 <br />52928 <br />Invoice Number: <br />Invoice Date: <br />Phone <br />Customer P.O. <br />Payment Terms <br />EPA# <br />r4coo <br />6 - <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />MANIFEST <br />QUANTITY <br />PRICE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />� SED AUTOMOTIVE ANTIFREEZE, NON <br />CRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />00 <br />TRINITY HEAVY DUTY PREMIX <br />.RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GREASWEEP <br />N/A <br />I hereby certify that I have not -mixed thisivaste with any other waste, that the total halides are less than 1000 P.P-M-; and that <br />tti•;wastedoes not contain any F.C.B.'s. I further agree to accept the additional charges for legal disposal if this waste e is over TOTAL <br />total halides, or contains any P.C-B.'s. <br />GENERATOR/ AUTHORIZED <br />GENERATOR/ <br />DRIVER j . <br />SIGNATURE SIGNATURE SIGNATURE I 'r I I ' ' 0. <br />-TERMS: DAYS ARE SUBJECT TOA 1.5% SERVICE CHARGE. CUSTOMER -A. TEES TO PAY ACL-Il"F-GAL FEES IF <br />.INVOICEV`OVEff30 <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />i <br />American Valley Waste 00 hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br />to with the more stringent requirements applicable to hazardous <br />with federiki regulations applicable to management of used oil, but that is not required comply <br />facilities. California facilities that handle or process used oil are required to meet those more stringent requirements, and some Out -Of - <br />waste management <br />state facilities that process Used Oil also meet those requirements, engineering certilications of tank integrity, and financial assurances for closure and <br />accidental releases. It Is lawful to send used oil to out-of-state facilities that comply only with federal used ON management standArds and not thea* more <br />stringent requirements- -11 "1" <br />This notification is for Injor6atidn purpspes�6hly. <br />Date signed Date <br />�j��e <br />Dhver signed .____.benerator <br />icy signing & �i= the �g6ratce i that the generator has estabii�hed a program to -redkd �uQIW, qt'iantity And toxicity of the hazardous <br />waste to the 'deg'ree,'as determined by the generator, to be economically practicable. confirmations for (certain waste streams) to the generator <br />.By it will serve as an agreement that American Valley will submit <br />both parties signing this invoice <br />that their w&5te has been transported to a license treatment or transfer facility. <br />DISRUUTY <br />L RECYCLING f8� <br />O.SIVItFIBANKOILTMANsr-ER _ . I 0 RAMos ENVIRONMENTAL SERVICES <br />- 95691 <br />. I <br />5000 CLAU$ ROAID-• RIVER5ANK, CA 95367 1515 SOUTH RIVER ROAD -1 W. SACRAMEOTO., CA <br />-nA ^Ai 9.16.37Y5747 - EPA # CA00440-0556 <br />