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r^. AMERICAN VALLEW) 42101 <br /> RECYCLE WASTE OIL, INC. Invoice Number: <br /> P. O. Box 34.0 • 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 /> GROUND ZERO ANALYSIS INCRARPdARD <br /> 1714 MAIN ST B960 W. WALNUT GROVE RD <br /> ESC.ALON, CA 95320 THOR i TON, CA. <br /> Phone Customer P.O. Payment Terms EPA# <br /> Mr :z � t <br /> 209-838-9888 ,_' `^` ,u` �� Neti 30 Dogs <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRICE AMOUNT <br /> CODE i ii <br /> USED OIL NON RCRA HAZARDOUS <br /> WASTE LIQUID �::u �v 221 <br /> USED AUTOMOTIVE ANTIFREEZE, NON <br /> RCRA HAZARDOUS WASTE LIQUID 343 1- Ii .._ <br /> OILY WATER, NON RCRA HAZARDOUS ;y <br /> WASTE-LIQUID 221 <br /> TRINITY HEAVY DUTY 50/50 ; <br /> RECYCLED ANTIFREEZE NIA <br /> NON HAZARDOUS WASTE LIQUID I c) <br /> TRUCK TIME NIA <br /> it <br /> GREASWEEP '! <br /> NIA <br /> i! <br /> TERMS: INVOICES OVER 30 DAYS ARE SUBJECT TO A 1.5°/Q.,SERVICE CHARGE.CUSTOMER AGREES �-�^ jI <br /> TO PAY ALL LEGAL FEES IF COURT ACTION BECOMES NECESSARY TO COLLECT THIS INV �..00OICE. TOTAL ,W <br /> DRIVER GENERATOR <br /> SIGNATURE SIGNATURE i <br /> American Valley Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to a facility that is required to comply <br /> with federal regulations applicable to management of used oil,but that is not required to co[nply with the more stringent requirements applicable to hazardous <br /> waste management facilities.California facilities that handle or process used oil are required to meet those more stringent requirements, and some out-of- <br /> state facilities that process used oil also meet those requirements,engineering certifications of tank integrity,and financial assurances for closure and acci- <br /> dental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and not these more strin- <br /> gent requirementsi:emation <br /> This notification is es only. <br /> Driver signed Date — �,`Q 4 Generator slgned Date F-3 E"-0 t <br /> By signing the invoice the generator certifies that the generator has established a program to reduce the volume or quantity and toxicity of the hoz 3rdous <br /> 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 submit confirmations for(certain waste streams)to the generator <br /> that their waste has been transported to a license treatment or transfer facility. <br /> DISPOSAL/ RECYCLING FACILITY <br /> AE!0.J AIVERSANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVICES <br /> 5300 CLAUS ROAD•RIVERBANK,CA 95367 1515 SOUTH RIVER ROAD-W. SACRAMENTO,CA 95691 <br /> 209-863-8181 -EPA#CAL000190816 916-371-5747-EPA#CAD044003556 <br /> n <br /> F li MPC(4/2003) <br /> II <br />