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Aug 06 09 10:20a Julie Huber 2 68-3880 <br />AMERICAN <br />N .f�L�� <br />WASTE OIL, <br />INC. <br />fr <br />P. O. Sox 340 - Delhi, CA 95315 <br />PH, 1-800-732-4645 - FAX 209-668-3880 <br />,._• EPA. CAL000827878 <br />,L TO: <br />QUALITY AUTO REPAIR <br />1246-A E. HARDING <br />STOCKTON, CA 95205 <br />PhoneCustomer P.O. <br />209-462-1120 ALAN <br />PRODUCT SHIPPING DESCRIPTION <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />GREASWEEP <br />lop <br />JOB SITE: <br />QUALITY AUTO REPAIR <br />1246 HARDING WAY <br />STOCKTON, CA 95205 <br />Aks Rqa : Abest Keitirg <br />P.5 <br />Invoice Number: <br />J <br />Invoice ate. <br />Payment Tetras EPA# <br />C. 0. D. 3- CALoa012o780 <br />WASTE MANIFEST <br />CODE <br />221 <br />343 <br />221 <br />N/A <br />NIA <br />N/A <br />QUANTITY I PRICE I AMOUNT <br />rx-\ t n I -lC�°c' <br />i hereby certify that I have not mixed this waste with any other waste, that the total hafbes are less than 1000 RRM.; and that V c/G <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 />1000 P.P.M. total halides, or container an P.C.B,'s. L <br />DRIVER GENERATOR/ AUTHORIZE <br />SIGNATURE SIGNATURE J SIGNATURE <br />TERMS_ INVOICES OVER 30 DA ARE SUBJECT TO A 1,5% SERVICE CHARGE. CUSTO R A RE ALL ES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />American ValJey Waste Oil hereby advises the above Generator the Generators shipment of used oil may be transported to facility that is required to comply <br />with federal regulations applicable to management of used oil, but that not required to comply with the more stringent r irements applicable 4o hazardous <br />waste management facilities. California facilities that handle or process used oil are required to meet those more stri rt r uirements, and some out-ot- <br />state facilities that process used oil also meet those requirements, engineering certifications of tank integr'ry, an f a ial assurances for closure and <br />accidental releases. It is (awful to send used oil to ou:-of state facilities that* comply only wi4feder4Zmalndards and not these mora <br />stringent requirements.This notification is for info a p es only. <br />Driver signedDate Gereratorsign8y signing the invoice t e gener certifies tht the gene ator has te, ished a programnd lDate y f the haar our <br />waste to the degree, as determined by the generator, to be economically practicable. <br />By Doth parties signing this invoice it wiiI serve as an agreement that American Valle will submit confirmations for (cenair: waste streams) 4o the generator <br />that their waste has been transported to a Jicense treatment or transfer facility, <br />DISPOSAL/ RECYCLING FACILITY <br />RIVERBANK OIL TRANSFER O RAMOS ENVIRONMENTAL SERVECES <br />5300 CLAUS ROAD - RIVERBANK, CA 95357 1515 SOUTH RIVER ROAD - W. SACRAMENTO, CA 95691 <br />209.863-8181 - EPA # CAi-000190816 916-371-5747 - EPA # CAD044003556 <br />MPC (10!2004) , <br />