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AMERICAN VALLEY* <br />WASTE 0 IL, INC. Invoice Number: <br />P. :O. Box 340,• Delhi, CA 95315 70235 <br />PH. 1-800-732-4645.- FAX 209-668.,3880 <br />EPA. CAL000827878 <br />2 <br />0 :13 2 <br />Invoice Date: <br />QUALITY AUTO REPAIR JOB SITE: QUAL(TY AUTO REPAIR <br />1246-A E. HARDING 1246 HARDING WAY <br />STOCKTON, CA 962105 STOCKTONI CA 95205 <br />Sales <br />s TeP' Albert Ke <br />11ing <br />Phone Customer PO. Payment Ter EPA# <br />209-462-1110 ALAN CAL00120780 <br />PRODUCT SHIPPING DESCRIPTIO <br />USED OIL NON RCRA HAZARDOUS <br />WASTE LIQUID <br />A HA <br />9 12 mftm I I MANIFEST <br />mom: <br />11111I• NQUx- <br />TRINITY HEAVY DUTY PREMIX'- <br />RECYCLED ANTIFREEZE <br />0 HAZARDOUS WASTE LIQUID <br />T R*UCK TIME <br />GRtASWEEPN/A <br />$.00 <br />FUEL SUR CHARGE 5 <br />I have not mixed this waste with any other waste, that the total halides are less than 1000 RRM.; and that <br />I hereby certify that mortal charges for legal disposal if this waste is over' <br />Dein RC.B.' I further agree to accept the add <br />the waste does not cc TO L <br />1000 P.P.M. total hall or tai B.S. <br />GENERATOR/ AUTHORIZED <br />DRIVER <br />SIGNATURE SIGNATURE I SIGNATURE A ES TO PAY ALL LEGAL FEES IF <br />3 <br />TERMS: INVOI S ER 0 S ARE SUBJECT TO A 1.5% SERVICE CHARGE. GUMER <br />COURT ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE. <br />shipment of used oil may be transported to a facility that is required to comply <br />American Valley Waste Oil hereby advises the above Generator the Generators <br />gement of used oil, but is not required to comply with the more stringent requirements applicable to hazardous <br />With federal regulations applicable to management . e a out -of - <br />fifties. California facilities that handle or process used oil are required to meet those more stringent r -Quitements, and sorn <br />waste management fac those requirei�ents, engineering certifications of tank integrity, and fine al assurances for closure and <br />state facilities that process used -oil also meet ( - - rit standards and not these more <br />accidental releases s lawful d used oil to out-of-state facilities that comply only with federal 4ubed oil mane nt stand, <br />federal <br />stringent require ant <br />:This notification is tion urpos6s only. Dat <br />'Date -�/7 Generator signed u or ti of thehazardous <br />�'Drlver signed n to reduce th a or quantity and toxicity <br />By signing the ja erator certifies that the generator has established a program <br />e' Irfed by the generator, to be economically practicable. i t . a or <br />{certain <br />J i w at <br />ams) to the generator <br />s d built confirmations or (694tain waste itre <br />of the <br />0 the generator <br />-wast to the agree, as d Valley submit S)t95691 <br />a <br />an .�fttArn ri <br />Byboth rtles signingffils.invoice,,11; will serve :as agr"meq ,a can <br />thattheir been transported'iba-licensetreatment'ortrarisf6riacHfty,,-'--.--'--- <br />th <br />LT <br />D POSAL ��REQYCLUG E& <br />PZZY­­ <br />RAMOS ENVIRONMENTAL SERVICES, 9 91 <br />CA 56 <br />O�ERBANK �01L <br />ER' <br />ERBANK�OILTRANSF <br />CLAUS ROAD --RIVERBANK, CA 95367 SOUTH RIVER ROAD , W. SACRAMENTO, CA 95691 <br />5300 C 916-371-5747 e EPA # CAD044003556 <br />209-863-8181 * EPA # CAL000190816, MPC (10. <br />