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FROM .:JIM THORPE OIL FAX NO. :1 209 368 1851 1. 08 2005 11:11AM P3 <br />AMERICAN VALLEY 55046 <br />WASTE 01L, INC. Invoice Number: <br />P. O. Box 340 - Delhi, CA 95315 <br />PH, 1-800-732-4645 * FAX 209-668-3880 <br />EPA. CAL000827878 <br />In nice Date: <br />BILL TO: JOB SITE: <br />:ENCI <br />F&K- CONSTRUCTION <br />419115 VA AIM <br />j0 1610"A". 3 5 "1 <br />51TOCIM'O N , (_-.1k 9 5 2 0 5; <br />Phone Customer P.O. <br />Payment Terms LPA 1# <br />CAC00 <br />PRODUCT SHIPPING DESCRIPTION WASTE <br />MANIFEST QUANTITY PRIGE <br />AMOUNT <br />CODE <br />USED OIL NON RCRA.,:HAZARDOUS <br />WASTE LIQUID <br />221 <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />,21Q7 <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />NIA. <br />NON HAZARDOUS WASTE LIQUID <br />N/A <br />5) <br />TRUCK TIME <br />GREASWEEP <br />N/A <br />I hereby certify that I have not mixed this waste with any other waste, that the total halides are less than 1000 P.'P.M.; and that <br />the waste does not contain any P.C.B.'s. I further agree to accept the additional charges for legal disposal if this waste is over <br />TOUL <br />l000 PP.m. total halides, qr containRs any IP.C.B.'s. <br />/AUTHORIZED <br />DRIVER GENERATOR <br />/14 <br />SIGNATURE SIGNATURE /SIGNATURE <br />TO PAY ALL LEGA� <br />FE�9 <br />F <br />TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.50/. SERVICE CHARGE. CUSTOMER AGREES <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />the Generators of used oil may be transported to a facility thet is r <br />quirad t <br />icomply <br />American Valley Waste Oil hareby.advises; the above Generator shipment <br />s oil, but that is not required to comply with the more stridgent requirements �pplicable <br />with federal regulations applicable to management of used r n <br />�quirarr`6 'st <br />that handle or used oil are required to meet those more stringent requiremirts, <br />to ha'arddus <br />d!Fl ',I.. <br />n d !ts 0 m <br />out -)Of - <br />waste management facilities. California facilities process <br />state facilities that process used oil also meet those requirements, engineering certifications of tank integrity,! and financial assurance <br />for los;re <br />and <br />more <br />accidental releases, it is lawful to send used oil to out-of-state facilities that Comply only with federal used oil management s�tandarrads an, <br />lhe'O <br />stringent requirements. <br />tion <br />Into tion <br />This notification is purposes Only. <br />r <br />4; 5anaratorsigned ate <br />Date �wlurri,or <br />iih <br />Driver signed t eYdce the quantityand to Kicity' <br />has established a program to <br />0" <br />f the haard6us <br />or <br />generator <br />By signing the inv�ce rator certifies that the �enara or <br />generator <br />waste to the clegWe, as determined by the generator, to be economically practicable, <br />American Valley will submit confirmations f: r (Cenaln waste str6ams <br />that AMOri <br />to �e gi <br />lnerator <br />By both parties signing this invoice it will serve as an agreement <br />their waste has been transported to a license treatment or transfer facility, <br />that <br />DISPOSAL ING -FACILITY <br />1P RIVERBANK OIL TRANSFER 0 RAMOS ENVIRONMENTAL SERVICES <br />53oo CLAUS ROAD-# RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD * W. SACRAMENTO, <br />9;: <br />A5691 <br />. ! <br />209-863-6181 - EPA /I CAL0001 90$18 916-371-5747 - EPA4 CA0.044003556 <br />MPC (I( <br />e <br />r2a <br />