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Aug 06 09 10:19a <br />Julie Huber 209-668-3880 p.3 <br />BIL 24 <br />AUTO REPAIR <br />246-A E. HARDING <br />STOCKTON, CA 95205 <br />AMERICAN VALLEY <br />WASTE OIL, INC. <br />P. O. Box 340 - Delhi, CA 95315 <br />PH. 1-800-732-4645 - FAX 209-668-3880 <br />EPA. CAL000827878 <br />JOB SITE QUALITY AUTO REPAIR <br />'1246 IfARDING VAY <br />STOCKTON, CA 95205 <br />Invoice Number: <br />71117 <br />j C- �4- <br />Invoice Date: <br />WC (1012004) <br />Customer P.O. <br />Payrrl!9474 <br />Cgg4UU 12-0 7 8 0 <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 />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />34:3 <br />OILY WATER, NON RCRA HAZARDOUS <br />WASTE LIQUID <br />221 <br />TRINITY HEAVY DUTY PREMIX <br />RECYCLED ANTIFREEZE <br />N/A <br />NON HAZARDOUS WASTE LIQUID <br />TRUCK TIME <br />N/A <br />GSL *wt*nded Life Premix recycled Ariffre <br />-Ze NIA <br />I %J Le_%JW 1% %A if -to %%—IL— <br />$5-M <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 does P.C.113.' <br />waste not contain any furtboer agree to accept the additional charges for legal disposal If this waste is over <br />I <br />1000 P.P.M. total halides, or corgaimigs—an��'.B,'s. 29WL <br />Qc-> <br />DRIVER GENERATOR/ AUTHORIZED Ir <br />SIGNATURE IGNATURE I SIGNATURE <br />TERMS: INVOICES ARE SUBJECT TO A 1.5% SERVICE CHARGE. CUSTO ER AGRWG�O PA'71�' LEGAL FEES IF <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOJCE. <br />American Valley Waste 09 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 comply with the more stringent requirements applicable to hazardous <br />waste management facilities. California facilities that handle or process Pse7d oil are required to meet those more stringent requirements, and some out-of- <br />state Ilaollities that process used oil also meet those requirements, engineering certifications of tank integrity, and financial assurances for closure and <br />accidental releases, It Is lawful to send used of to out-of-state facilities that comply only with federal used oil management standards and not these more <br />stringent requirements. <br />This notification is for information purposes only. <br />Driver signed 'Date Generator signed Date <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 hazardous <br />waste to the degree, as determined by the generator, to be economically practicable. <br />By both par -des 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 />0 RIVERBANK OIL TRANSFER R OS ENVIRONMENTAL SERVICES <br />5300 01 -AUS ROAD & RIVERBANK, CA 95367 1515 SOUTH RIVER ROAD - W. SACRAMENTO, CA 95691 <br />2OM63.8181 - EPA# CALCOC190816 915-371-5747 - EPA # CA0044003556 <br />WC (1012004) <br />