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Aug 06 09 10:19a Julie Huber 209-668-3880 p.2 <br />AMERICAN VALLEY 0 <br />WASTE 01L5 INC. Invoice Number. <br />P. O. Box 340 * Delhi, CA 95315 7 0 2 3%5 <br />PH. 1-800-732-4645 . FAX 209-668-3880 <br />EPA. CAL000827878 2, f-3 02 <br />Invoice Date: <br />L TO: QUALITY AUTO REPAIR JOB SITE:QUALfTY AUTO REPAiR <br />1246-A E. HARDING 1246 DING WAY <br />STOCKTON, CA 35205 STOCKTON, CA 95205 <br />Phone customer P.O. <br />209-462--1iiGAALAN j <br />PRODUCT SHIPPING DESCRIPTION <br />WASTE <br />CODE <br />USED OIL NON RCRA HAZARDOUS <br />221 <br />WASTE LIQUID_ <br />USED AUTOMOTIVE ANTIFREEZE, NON <br />RCRA HAZARDOUS WASTE LIQUID <br />zm�-- <br />343 <br />OILY WATER, NON RCRA HAZARDOUS <br />221 <br />WASTE LIQUID <br />TRINITY HEAVY DUTY PREMIX <br />N/A <br />RECYCLED ANTIFREEZE <br />NON HAZARDOUS WASTELIQUID <br />tEEN/A <br />TRUCK TIME <br />GREASWEEP <br />N/A <br />FUEL SUR CHARGE <br />Payment <br />MANIFEST <br />S-aliesTely Azert"Yng <br />EPA# <br />CALO(YO-1120780 <br />QUANTITY I PRICE I AMOUNT <br />$5.00 <br />I hereby certify that I have not mixed this waste with any other waste, that the .,at halides are less than 1000 P.P.M.; and that <br />that <br />s over TOT L <br />P M' ' a� <br />waste <br />d this <br />a <br />is than <br />charges for legal disposal -d this waste is over <br />halides <br />a ' <br />the waste does not conte' P.C.B' I further agree to accept the additional I "s TO L <br />'S� <br />does <br />low P.P.M. total hali or tai <br />B. s. <br />DRIVER <br />GENERATOR /AUTHORIZED <br />RIVER SIGNATURE <br />/SIGNATURE <br />rU SIGNAT :E <br />SIGNATURE 'I I 'T"ER A ES To PAY ALL LEGAL FEES IF <br />I Vol SO R <br />VE 0 YSAIESUI TTOA 1.6% SERVICE CHARGE. CUSTOMER A ES TO PAY ALL LEGAL FEES IF <br />TERMS: INVOI S OVER 0 S ARE SUEUEC <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. orted to a facility that is required to comp <br />American Valley Waste oil hereby advises the above Generator the Generators shipment of used oil may be <br />transp <br />ed oil, but that Is not required to comply with the rusts stringent requirements applicable to hazardous <br />with feclerat regulations applicable to management of used used oil are required to meet those more stringent ipulternents, and some out -of - <br />waste management facils. California facilities that handle <br />or prcoc�ess ;ationsoi tank in,,,,,. and finagral assurances for ciosu. re and <br />state facilities that process used oil also meet those requirements. engineering cettifig used oil <br />fort standards and not these more <br />a <br />accidental releases. <br />s lawful t d used oil 10 out-of-state facilities that comply only with federal uie( <br />stringent require en <br />This notification is f tion urposes only. o7 Date <br />Driver signed Dale Generatorsigned reduce th a or quantity end toxicity of the ardour <br />-,es that the generator has established a program to reduce th <br />By signing voice a nerator certifies 'e <br />waste to thegree, as d termined by the generator, to be 9COnOMICallY practicable. <br />confirmations for certain waste streams) to the generator <br />By both parties signing this invoice it will serve as an agreement that American Valley will submit <br />that their waste has been transported to a license treatment or transfer facility, <br />D P AL / RECYCLING FACILITYL <br />ERBANK OIL TRANSFER <br />5300 CLAUS ROAD • RIVERBANK, CA 95367 <br />Q1 . PPA rAL000190816 <br />PA <br />0 SAMOS ENVIRONMENTAL SERVICES <br />1515 SOUTH RIVER ROAD - W. SACRAMENTO, CA 95691 <br />916-371-5747 - EPA# CAD,044003556 <br />vpc 4 <br />